Provider Demographics
NPI:1235284209
Name:HARPER, MARIA JOVEN (ANP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JOVEN
Last Name:HARPER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:JOVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:BEECH GROVE
Mailing Address - State:IN
Mailing Address - Zip Code:46107-0100
Mailing Address - Country:US
Mailing Address - Phone:317-859-1090
Mailing Address - Fax:317-941-7254
Practice Address - Street 1:6745 GRAY RD STE D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-3236
Practice Address - Country:US
Practice Address - Phone:317-859-1090
Practice Address - Fax:317-941-7254
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71000728A363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000278758OtherANTHEM
IN11479197OtherCAQH
IN200184590Medicaid
IN28110124AOtherRN LICENSE
IN110200473OtherRAILROAD MEDICARE
IN71000728BOtherCSR
IN000000007696OtherM PLAN
INMH588763OtherDEA
IN110200473OtherRAILROAD MEDICARE