Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP1903 | AZ |
NPI | 1003878851 |
---|---|
Provider Name | Terry L Horine |
First Address | Chandler, AZ 85224-1636 |
Second Address | Chandler, AZ 85224-1636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 10/05/2016 |