Provider Demographics
NPI:1508333444
Name:MAGUIRE, ANNE (APRN, MSN, ANP-C)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:APRN, MSN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6749 HILLCREST CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-7702
Mailing Address - Country:US
Mailing Address - Phone:317-319-1812
Mailing Address - Fax:
Practice Address - Street 1:1000 10TH AVE STE 2T
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1147
Practice Address - Country:US
Practice Address - Phone:212-523-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF308971-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health