| NPI | 1053645770 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-09-28 |
| Last Updated | 2024-10-17 |
| Mailing Address | Po Box 876023 Wasilla, AK 99687-6023 United States Phone: (907) 203-1590 | Fax: (435) 359-9580 📍 View Map |
| Primary Practice Address | 290 N Willow St Wasilla, AK 99654-7042 United States Phone: (435) 703-9647 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 163W00000X – Registered Nurse | AK | 130269 |
| No | 163W00000X – Registered Nurse | UT | 6593775-3102 |
| Yes | 363LP0808X – Nurse Practitioner, Psych/Mental Health | UT | 6593775-3102 |
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About NPI 1053645770
Lisa Marie Mrzena APRN is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053645770. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Wasilla, AK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-09-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053645770?
NPI 1053645770 belongs to Lisa Marie Mrzena APRN, a Nurse Practitioner, Psych/Mental Health in Wasilla, AK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053645770 active?
The current status of NPI 1053645770 in the NPPES registry is Active. The record was last updated on 2024-10-17.
What specialty is NPI 1053645770?
NPI 1053645770 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053645770?
You can verify NPI 1053645770 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053645770?
The primary practice address on file for NPI 1053645770 is 290 N Willow St, Wasilla, AK 99654-7042. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053645770 issued?
NPI 1053645770 was first issued (enumerated) on 2009-09-28. The NPPES record was last updated on 2024-10-17.
Practice Location Map
Lisa Marie Mrzena is located at 290 N Willow St, Wasilla, AK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lisa Marie Mrzena. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053645770. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Registered Nurse | 130269 | AK |
| Registered Nurse | 6593775-3102 | UT |
| Nurse Practitioner, Psych/Mental Health | 6593775-3102 | UT |