MEDICARE: MR. ROBERT DANIEL HORNER APRN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	20387	SC
2	363LF0000X	Family Nurse Practitioner	5010528	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124575972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT DANIEL HORNER APRN, FNP

Provider Business Mailing Address
First Line	:	2872 S NC 127 HWY
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-9131
Country	:	US
Telephone Number	:	828-330-2103
Fax Number	:	828-294-0131

Provider Business Practice Location Address
First Line	:	2872 S NC 127 HWY
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602
Country	:	US
Telephone Number	:	828-330-2103
Fax Number	:	828-294-0131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	05/16/2018

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