Healthcare Provider Details

I. General information

NPI: 1457241937
Provider Name (Legal Business Name): MARIAH MAINS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

846 9TH AVE SE
CEDAR RAPIDS IA
52401-2111
US

IV. Provider business mailing address

2900 1ST AVE
MARION IA
52302-3905
US

V. Phone/Fax

Practice location:
  • Phone: 319-832-2328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberH185465
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number147670
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: