Healthcare Provider Details

I. General information

NPI: 1508333444
Provider Name (Legal Business Name): ANNE MAGUIRE APRN, MSN, ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 E WASHINGTON ST
INDIANAPOLIS IN
46201-3847
US

IV. Provider business mailing address

1420 E WASHINGTON ST
INDIANAPOLIS IN
46201-3847
US

V. Phone/Fax

Practice location:
  • Phone: 317-632-0123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF308971-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: