MEDICARE: MS. NANCY LOUISE HORNSTEIN M.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
1	2084P0800X	Psychiatry Physician	E3071	AR
2	2084P0804X	Child & Adolescent Psychiatry Physician	E-3071	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5L958	OTHER	AR	BCBS PROV #

General Provider Information

NPI Number	:	1992755433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY LOUISE HORNSTEIN M.D.

Provider Business Mailing Address
First Line	:	125 DONS WAY
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6478
Country	:	US
Telephone Number	:	501-624-7111
Fax Number	:	501-620-5109

Provider Business Practice Location Address
First Line	:	125 DONS WAY
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6478
Country	:	US
Telephone Number	:	501-624-7111
Fax Number	:	501-620-5109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	03/09/2017

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