Healthcare Provider Details

I. General information

NPI: 1306125455
Provider Name (Legal Business Name): MARGARET ELIZABETH DENHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ELIZABETH CONNOR NP

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 E COUNTY LINE RD
INDIANAPOLIS IN
46227-0963
US

IV. Provider business mailing address

783 IVY LN
CARMEL IN
46032-4668
US

V. Phone/Fax

Practice location:
  • Phone: 225-284-7336
  • Fax:
Mailing address:
  • Phone: 317-645-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28168437A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71003760A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: