Healthcare Provider Details

I. General information

NPI: 1164077392
Provider Name (Legal Business Name): LORI ELIZABETH MAYBRIER MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2019
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PORTLAND ST
COLUMBIA MO
65201-6525
US

IV. Provider business mailing address

1800 COMMUNITY
CLINTON MO
64735-8804
US

V. Phone/Fax

Practice location:
  • Phone: 844-853-8937
  • Fax:
Mailing address:
  • Phone: 844-853-8937
  • Fax: 660-885-8131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number2019037411
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: