Provider Demographics
NPI:1568747897
Name:HORN, ANGELA M (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:HORN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 N RENO AVE
Mailing Address - Street 2:13
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-2575
Mailing Address - Country:US
Mailing Address - Phone:520-888-6402
Mailing Address - Fax:
Practice Address - Street 1:4106 N RENO AVE
Practice Address - Street 2:13
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-2575
Practice Address - Country:US
Practice Address - Phone:520-888-6402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula