Healthcare Provider Details

I. General information

NPI: 1174332936
Provider Name (Legal Business Name): NARANDA HORN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 BELLEFONTAINE AVE
LIMA OH
45804-2868
US

IV. Provider business mailing address

104 NANTUCKET LNDG
DAYTON OH
45458-4207
US

V. Phone/Fax

Practice location:
  • Phone: 419-228-3335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number152486
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: