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NPI Code Detail

MEDICARE: MRS. CARI DAWN HORNE CSFA

MEDICARE: MRS. CARI DAWN HORNE CSFA
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
1246Z00000XOther Specialist/Technologist203568CO
2246ZX2200XOrthopedic Assistant203568CO

General Provider Information

NPI Number : 1770151235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARI DAWN HORNE CSFA
Provider Business Mailing Address
First Line : 1975 E DESERT DR
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-8802
Country : US
Telephone Number : 928-577-2617
Fax Number :
Provider Business Practice Location Address
First Line : 5330 S HIGHWAY 95
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-9225
Country : US
Telephone Number : 928-788-2273
Fax Number : 928-788-7845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

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Directions to “ MRS. CARI DAWN HORNE CSFA” Practice Location

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