Healthcare Provider Details

I. General information

NPI: 1184988610
Provider Name (Legal Business Name): JANE MARIE BAKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE MARIE SCHWARTZ ARNP

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 S HACKETT RD
WATERLOO IA
50701-3543
US

IV. Provider business mailing address

PO BOX 2758
WATERLOO IA
50704-2758
US

V. Phone/Fax

Practice location:
  • Phone: 319-234-5990
  • Fax: 319-234-5994
Mailing address:
  • Phone: 319-235-5390
  • Fax: 319-235-5607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA117453
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11617
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA-117453
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: