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NPI Code Detail

MEDICARE: NANCY LYNN HORTON

MEDICARE: NANCY LYNN HORTON
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
1104100000XSocial Worker2981ND

General Provider Information

NPI Number : 1710108410
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY LYNN HORTON
Provider Business Mailing Address
First Line : 1112 NODAK DR S
Second Line : SUITE 200
City : FARGO
State : ND
Zip : 58103-2366
Country : US
Telephone Number : 701-280-9545
Fax Number :
Provider Business Practice Location Address
First Line : 1112 NODAK DR S
Second Line : SUITE 200
City : FARGO
State : ND
Zip : 58103-2366
Country : US
Telephone Number : 701-280-9545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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Directions to “ NANCY LYNN HORTON ” Practice Location

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