Wanda L Horn, MHNP
Nurse Practitioner, Psych/Mental Health in Bloomfield, MO. Individual provider (NPI-1).
NPI number1750600524
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1750600524
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Wanda L Horn
- Credential
- MHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2010
- Certification date
- Aug 7, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 126560 | MO | Yes |
Practice location
612 State Highway 25 SBloomfield, MO 63825-9566
Phone 573-803-3995 · Fax 573-803-5222
Mailing address
612 Hwy 25 SouthBloomfield, MO 63825-9566
Phone 573-568-7377 · Fax 573-568-7320
Other practice locations
714 Broadway St
Cape Girardeau, MO 63701-5514
Cape Girardeau, MO 63701-5514
Phone 573-837-1124 · Fax 573-803-5222
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