MEDICARE: ANA HORVATIK CRNA

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	367500000X	Certified Registered Nurse Anesthetist	9273896	FL
2	367500000X	Certified Registered Nurse Anesthetist	101783	FL
3	367500000X	Certified Registered Nurse Anesthetist	APRN9273896	FL

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	:	1346665767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA HORVATIK CRNA

Provider Business Mailing Address
First Line	:	2035 RESTON CIR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6109
Country	:	US
Telephone Number	:	561-324-7291
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 RESTON CIR
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-6109
Country	:	US
Telephone Number	:	561-324-7291
Fax Number	:

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

Provider Enumeration Date	:	02/21/2014
Last Update Date	:	02/23/2024

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