Doctor Name: | MRS. DIANE MARGARET HORNEMAN |
NPI Number: | 1083612519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP006472B |
Business Practice Address: | 1034 Grove St Department Of Comprehensive Pain Care Meadville, PA - 163352945 |
Business Phone Number: | 8143335736 |
Business Fax Number: | 8143335819 |
Mailing Address: | 1034 Grove St, MEADVILLE |
State: | PA |
Postal Code: | 163352945 |
Phone Number: | 8143335736 |
Fax Number: | 8143335819 |
NPI Enumeration Date: | 07/08/2005 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | UP006472B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |