Provider Demographics
NPI:1003576406
Name:HORN, KATE PATRICIA (APRN-NP)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:PATRICIA
Last Name:HORN
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16934 FRANCES ST STE 105
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2397
Mailing Address - Country:US
Mailing Address - Phone:402-403-4330
Mailing Address - Fax:
Practice Address - Street 1:16934 FRANCES ST STE 105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2397
Practice Address - Country:US
Practice Address - Phone:402-403-4330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113777363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE113777OtherAPRN LICENSE
NE87921OtherRN LICENSE
NE2021036876OtherANCC AGPCNP CERTIFICATION