| Doctor Name: | MRS. MAUREEN PATRICE MCGOFF ALLEN |
| NPI Number: | 1003222928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN-RN, MSN-FNP |
| License Number: | 71004980A |
| Business Practice Address: | 4401 E 10th St Indianapolis, IN - 462012744 |
| Business Phone Number: | 3173588060 |
| Business Fax Number: | |
| Mailing Address: | 4401 E 10th St, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462012744 |
| Phone Number: | 3173588060 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2014 |
| NPI Last Update Date: | 07/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71004980A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |