MEDICARE: NICHOLE P HORROCKS 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
1	367500000X	Certified Registered Nurse Anesthetist	2008004646	MO
2	367500000X	Certified Registered Nurse Anesthetist	203906	ND
3	367500000X	Certified Registered Nurse Anesthetist	54278	WI

General Provider Information

NPI Number	:	1952690745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE P HORROCKS CRNA

Provider Business Mailing Address
First Line	:	9233 WARD PKWY
Second Line	:	SUITE 230
City	:	KANSAS CITY
State	:	MO
Zip	:	64114-3366
Country	:	US
Telephone Number	:	816-389-6030
Fax Number	:	816-389-6034

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-3220
Country	:	US
Telephone Number	:	608-263-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	01/10/2026

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