Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | RN505566L | PA |
NPI | 1023500089 |
---|---|
Provider Name | Jennifer Horgash |
First Address | Bethlehem, PA 18015-1000 |
Second Address | Bethlehem, PA 18015-1882 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2018 |
Last Update Date | 05/06/2018 |