Provider Demographics
NPI:1326636879
Name:HORNE, BARBARA ANN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:HORNE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 BROOKFIELD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6325
Mailing Address - Country:US
Mailing Address - Phone:412-716-9435
Mailing Address - Fax:
Practice Address - Street 1:131 BROOKFIELD ESTATES DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-6325
Practice Address - Country:US
Practice Address - Phone:412-716-9435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002694133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered