Provider Demographics
NPI:1790462851
Name:HORVAT, SHERRI LANE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LANE
Last Name:HORVAT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 N ELMER ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFITH
Mailing Address - State:IN
Mailing Address - Zip Code:46319-2329
Mailing Address - Country:US
Mailing Address - Phone:219-688-7956
Mailing Address - Fax:
Practice Address - Street 1:913 N ELMER ST
Practice Address - Street 2:
Practice Address - City:GRIFFITH
Practice Address - State:IN
Practice Address - Zip Code:46319-2329
Practice Address - Country:US
Practice Address - Phone:219-688-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95026665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty