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NPI Code Detail

MEDICARE: CHAROLETTE HORN FNP

MEDICARE: CHAROLETTE HORN 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
1163W00000XRegistered Nurse2004025386MO
2363LF0000XFamily Nurse Practitioner2016011443MO

General Provider Information

NPI Number : 1528421799
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAROLETTE HORN FNP
Provider Business Mailing Address
First Line : PO BOX 843966
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-3966
Country : US
Telephone Number : 573-884-3300
Fax Number : 573-884-0943
Provider Business Practice Location Address
First Line : 900 W NIFONG BLVD STE 101
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-4469
Country : US
Telephone Number : 573-815-6631
Fax Number : 573-815-6634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 08/07/2023

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Directions to “ CHAROLETTE HORN FNP” Practice Location

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