Healthcare Provider Details

I. General information

NPI: 1205923570
Provider Name (Legal Business Name): MAUREEN ANN HORNER ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAUREEN ANN BROWN ANP-C

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 04/16/2020
Certification Date: 04/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E NORTHERN LIGHTS BLVD STE 208
ANCHORAGE AK
99503-2731
US

IV. Provider business mailing address

2621 CURLEW CIR
ANCHORAGE AK
99502-1656
US

V. Phone/Fax

Practice location:
  • Phone: 907-952-0770
  • Fax: 907-644-3221
Mailing address:
  • Phone: 907-952-0770
  • Fax: 907-563-9185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number645
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: