MEDICARE: ANNE MAGUIRE APRN, MSN, ANP-C

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	363LA2200X	Adult Health Nurse Practitioner	F308971-1	NY

General Provider Information

NPI Number	:	1508333444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MAGUIRE APRN, MSN, ANP-C

Provider Business Mailing Address
First Line	:	1420 E WASHINGTON ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 E WASHINGTON ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-3847
Country	:	US
Telephone Number	:	317-632-0123
Fax Number	:

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

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	02/02/2026

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