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NPI Code Detail

MEDICARE: MARANDA HORINE

MEDICARE: MARANDA HORINE
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
1363LF0000XFamily Nurse PractitionerCOA.11997-NPOH

General Provider Information

NPI Number : 1447553904
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARANDA HORINE
Provider Business Mailing Address
First Line : 2620 ELM HILL PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3108
Country : US
Telephone Number : 615-425-4200
Fax Number :
Provider Business Practice Location Address
First Line : 7580 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-4221
Country : US
Telephone Number : 513-578-6093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2010
Last Update Date : 10/28/2016

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Directions to “ MARANDA HORINE ” Practice Location

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