Provider Demographics
NPI:1942281837
Name:HORN, NOMI (CRNP)
Entity Type:Individual
Prefix:
First Name:NOMI
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 GLENWYD RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2018
Mailing Address - Country:US
Mailing Address - Phone:610-527-2207
Mailing Address - Fax:610-527-6166
Practice Address - Street 1:1660 E STREET RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2028
Practice Address - Country:US
Practice Address - Phone:610-388-5600
Practice Address - Fax:610-388-5691
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATP003097H363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
H0004151Medicare UPIN
PA004151GD6Medicare ID - Type Unspecified