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NPI Code Detail

MEDICARE: KATHLEEN ANN HORN CRNA

MEDICARE: KATHLEEN ANN HORN CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistARNP 9166690FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356431951
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANN HORN CRNA
Provider Business Mailing Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number :
Provider Business Practice Location Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 10/05/2016

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Directions to “ KATHLEEN ANN HORN CRNA” Practice Location

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