Provider Demographics
NPI:1205388634
Name:HORVATH, LAURIE L (CERTIFIED NURSE MIDW)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:L
Last Name:HORVATH
Suffix:
Gender:F
Credentials:CERTIFIED NURSE MIDW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 E MARKET
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483
Mailing Address - Country:US
Mailing Address - Phone:330-394-4900
Mailing Address - Fax:330-394-5900
Practice Address - Street 1:1651 E MARKET
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483
Practice Address - Country:US
Practice Address - Phone:330-394-4900
Practice Address - Fax:330-394-5900
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNM3616176B00000X
OHAPRN.CNM.019300367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife