MEDICARE: LUCY MAHER DNP, BSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN61206651	WA
2	363L00000X	Nurse Practitioner	AP70067844	WA
3	163W00000X	Registered Nurse	NUR-RN-LIC-217203	MT

General Provider Information

NPI Number	:	1235973165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY MAHER DNP, BSN

Provider Business Mailing Address
First Line	:	1442 19TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-2853
Country	:	US
Telephone Number	:	206-858-3166
Fax Number	:

Provider Business Practice Location Address
First Line	:	1442 19TH AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-2853
Country	:	US
Telephone Number	:	206-858-3166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	02/02/2026

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