Individual provider · Type 1 NPI

Maureen E.t. Doherty

Licensed Practical Nurse · Indianapolis, IN

NPI number 1255289823 Active

Practice location

1481 W 10th St
Indianapolis, IN 46202-2803

Call (317) 988-9483 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27031890A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1255289823

Maureen E.t. Doherty's National Provider Identifier is 1255289823, issued on Mar 19, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 19, 2026.