Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP145056 | TX |
NPI | 1598398505 |
---|---|
Provider Name | Melissa Horner |
First Address | Clifton, TX 76634-4716 |
Second Address | Plano, TX 75093-8140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2020 |
Last Update Date | 18/02/2020 |