Provider Demographics
NPI:1326570615
Name:HORTON, DARRYL (NP-C)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:
Last Name:HORTON
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W SUNSET RD STE 201
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-1982
Mailing Address - Country:US
Mailing Address - Phone:702-316-1622
Mailing Address - Fax:702-951-0782
Practice Address - Street 1:7500 SMOKE RANCH RD STE 201A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0324
Practice Address - Country:US
Practice Address - Phone:702-223-0782
Practice Address - Fax:702-233-4799
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002526363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner