Doctor Name: | AMANDA ELLEN HORST |
NPI Number: | 1104124163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 71003554A |
Business Practice Address: | 528 N 1st St Vincennes, IN - 475911402 |
Business Phone Number: | 8128824434 |
Business Fax Number: | 8128856318 |
Mailing Address: | 528 N 1st St, VINCENNES |
State: | IN |
Postal Code: | 475911402 |
Phone Number: | 8128824434 |
Fax Number: | 8128856318 |
NPI Enumeration Date: | 03/01/2011 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003554A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |