Doctor Name: | STEVEN HORNER |
NPI Number: | 1063811016 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 26NJ00428900 |
Business Practice Address: | 8 Haddon Ave Haddon Township, NJ - 081082706 |
Business Phone Number: | 8668253227 |
Business Fax Number: | |
Mailing Address: | 161 Washington St Fl 14, Eight Tower Bridge, Suite 1400 CONSHOHOCKEN |
State: | PA |
Postal Code: | 194282083 |
Phone Number: | 8668253227 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2014 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00428900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |