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NPI Code Detail

MEDICARE: DR. CIARA HORGAN AU.D.

MEDICARE: DR. CIARA HORGAN AU.D.
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
1231H00000XAudiologist23002717AIN

General Provider Information

NPI Number : 1376167635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CIARA HORGAN AU.D.
Provider Business Mailing Address
First Line : 3831 NANTUCKET DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-5633
Country : US
Telephone Number : 260-705-5908
Fax Number :
Provider Business Practice Location Address
First Line : 4720 E STATE BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-6923
Country : US
Telephone Number : 260-705-5908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2020
Last Update Date : 09/28/2022

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Directions to “ DR. CIARA HORGAN AU.D.” Practice Location

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