Provider Demographics
NPI:1346526316
Name:HORTON, LOUIS ARNOLD JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:ARNOLD
Last Name:HORTON
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10562 CANOSA CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3528
Mailing Address - Country:US
Mailing Address - Phone:303-503-0585
Mailing Address - Fax:
Practice Address - Street 1:10562 CANOSA CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-3528
Practice Address - Country:US
Practice Address - Phone:303-503-0585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO164670163W00000X
CO100078367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse