Healthcare Provider Details

I. General information

NPI: 1700613148
Provider Name (Legal Business Name): SYLVIANN HORDEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2635 PURNELL DR
GWYNN OAK MD
21207-6171
US

IV. Provider business mailing address

2635 PURNELL DR
GWYNN OAK MD
21207-6171
US

V. Phone/Fax

Practice location:
  • Phone: 302-438-2668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR244865
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: