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NPI Code Detail

MEDICARE: MRS. ALICIA MARIE HORNER CNP

MEDICARE:  MRS. ALICIA MARIE HORNER  CNP
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
1363LF0000XFamily Nurse Practitioner0036522OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN.CNP.0036522OTHEROHOHIO ELICENSE OHIO PROFESSIONAL LICENSURE

General Provider Information

NPI Number : 1922847250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA MARIE HORNER CNP
Provider Business Mailing Address
First Line : 7665 WESTFIELD RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-8500
Country : US
Telephone Number : 216-299-1800
Fax Number :
Provider Business Practice Location Address
First Line : 6707 POWERS BLVD STE 106
Second Line :
City : PARMA
State : OH
Zip : 44129-5463
Country : US
Telephone Number : 440-886-2509
Fax Number : 440-886-2547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2024
Last Update Date : 08/17/2024

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Directions to “ MRS. ALICIA MARIE HORNER CNP” Practice Location

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