Provider Demographics
NPI:1861656241
Name:HORNYAN, HOLLY K (AUDIOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:K
Last Name:HORNYAN
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 E PRENTICE AVE STE D12
Mailing Address - Street 2:STE. D-12
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2759
Mailing Address - Country:US
Mailing Address - Phone:720-663-0283
Mailing Address - Fax:
Practice Address - Street 1:8000 E PRENTICE AVE
Practice Address - Street 2:SUITE D-12
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2744
Practice Address - Country:US
Practice Address - Phone:720-663-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001283231H00000X
CO231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILR02935Medicare UPIN
IL212449Medicare PIN
ILR02936Medicare UPIN
IL783320Medicare PIN