Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | 2020036987 | MO |
NPI | 1205422201 |
---|---|
Provider Name | Dr. Hannah Louise Horn |
First Address | Branson, MO 65616-6100 |
Second Address | Branson, MO 65616-7287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2020 |
Last Update Date | 15/12/2020 |