Healthcare Provider Details

I. General information

NPI: 1336322122
Provider Name (Legal Business Name): MS. MAPLE HILLIARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9344 TOWER BRIDGE RD. F
INDIANAPOLIS IN
46240-5430
US

IV. Provider business mailing address

9344 TOWER BRIDGE RD. F
INDIANAPOLIS IN
46240-5430
US

V. Phone/Fax

Practice location:
  • Phone: 317-295-2742
  • Fax:
Mailing address:
  • Phone: 317-295-2742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: