| Doctor Name: | NICHOLE HORVATH |
| NPI Number: | 1093111221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 4704281383 |
| Business Practice Address: | 26184 Outer Dr Lincoln Park, MI - 481462084 |
| Business Phone Number: | 3133897525 |
| Business Fax Number: | |
| Mailing Address: | 2815 Askin, WINDSOR |
| State: | ONTARIO |
| Postal Code: | N9E3J1 |
| Phone Number: | 5198002605 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2014 |
| NPI Last Update Date: | 11/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 4704281383 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |