Healthcare Provider Details

I. General information

NPI: 1376057703
Provider Name (Legal Business Name): NANCY HORNSTEIN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MALVERN AVE
HOT SPRINGS AR
71901-6327
US

IV. Provider business mailing address

423 TRIVISTA RIGHT ST
HOT SPRINGS AR
71901-7465
US

V. Phone/Fax

Practice location:
  • Phone: 501-538-2762
  • Fax: 501-701-4312
Mailing address:
  • Phone: 501-538-2762
  • Fax: 501-701-4312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberE-3071
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberE3071
License Number StateAR

VIII. Authorized Official

Name: DR. NANCY L HORNSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 501-538-2761