Lisa Marie Terhaar, CNP is a
Nurse Practitioner - Gerontology based in Circle Pines, Minnesota. Lisa Marie Terhaar is licensed to practice in Minnesota (license number R 124303-1) and her current practice location is
550 62nd St, Circle Pines, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 406-7200.
NPI number for Lisa Marie Terhaar is 1750684049 and her current mailing address is 550 62nd St, Lino Lakes, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750684049.
Provider's Profile
Full Name | Lisa Marie Terhaar |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 550 62nd St, Circle Pines, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750684049
- Provider Enumeration Date: 12/08/2010
- Last Update Date: 05/24/2021
Medical Identifiers
Medical identifiers for Lisa Marie Terhaar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750684049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | R124303 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R 124303-1 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Terhaar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Marie Terhaar, CNP 550 62nd St, Lino Lakes, MN 55014-1442 Ph: (612) 406-7200 | Lisa Marie Terhaar, CNP 550 62nd St, Circle Pines, MN 55014-1442 Ph: (612) 406-7200 |
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