Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01075350 | IN |
Y | 2080P0203X | Pediatric Critical Care Doctor | 01075350A | IN |
NPI | 1235495698 |
---|---|
Provider Name | Dr. Danielle Kristine Maue |
First Address | Indianapolis, IN 46206-1026 |
Second Address | Indianapolis, IN 46202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201097740 | (05) | IN |