Healthcare Provider Details

I. General information

NPI: 1144183518
Provider Name (Legal Business Name): MARIA STROM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA MARTINEZ

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W
IOWA CITY IA
52246-2209
US

IV. Provider business mailing address

PO BOX 213
WEVER IA
52658-0213
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax:
Mailing address:
  • Phone: 319-338-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number158067
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: