Provider Demographics
NPI:1225164197
Name:HORSTMAN, MONICA ANN (CRNFA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:HORSTMAN
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:ANN
Other - Last Name:HENRICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 SALTILLO
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3420
Mailing Address - Country:US
Mailing Address - Phone:949-858-1126
Mailing Address - Fax:
Practice Address - Street 1:8 SALTILLO
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3420
Practice Address - Country:US
Practice Address - Phone:949-858-1126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA415769163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant