Provider Demographics
NPI:1891828638
Name:HORSLEY, CHRISTINA DIANNE
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DIANNE
Last Name:HORSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3384 TRABECCA LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-8900
Mailing Address - Country:US
Mailing Address - Phone:513-314-6658
Mailing Address - Fax:
Practice Address - Street 1:3384 TRABECCA LN
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-8900
Practice Address - Country:US
Practice Address - Phone:513-314-6658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2509619Medicaid