Doctor Name: | JUSTINE CATHERINE HORNER |
NPI Number: | 1740513563 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA053952 |
Business Practice Address: | 136 S Pine Ave Stoystown, PA - 155636002 |
Business Phone Number: | 8148935568 |
Business Fax Number: | 8148935989 |
Mailing Address: | 136 S Pine Ave, STOYSTOWN |
State: | PA |
Postal Code: | 155636002 |
Phone Number: | 8148935568 |
Fax Number: | 8148935989 |
NPI Enumeration Date: | 09/11/2009 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA053952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |