Healthcare Provider Details

I. General information

NPI: 1871320648
Provider Name (Legal Business Name): SCOTT HORST APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 ZEPHYR WAY
SPARKS NV
89431-1948
US

IV. Provider business mailing address

167 RIVER FLOW DR
RENO NV
89523-8964
US

V. Phone/Fax

Practice location:
  • Phone: 304-573-1992
  • Fax:
Mailing address:
  • Phone: 530-448-9657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number881114
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: