Healthcare Provider Details

I. General information

NPI: 1851830459
Provider Name (Legal Business Name): LISA M MERTENS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA M GOODFELLOW-MERTENS ARNP

II. Dates (important events)

Enumeration Date: 02/15/2017
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 NORTHGATE DR
IOWA CITY IA
52245-9509
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-384-7222
  • Fax: 319-356-3949
Mailing address:
  • Phone: 319-356-3474
  • Fax: 319-384-7822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA131999
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberA131999
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: