Provider Demographics
NPI:1356975221
Name:HORAN, URSULA SHERMANE
Entity type:Individual
Prefix:MS
First Name:URSULA
Middle Name:SHERMANE
Last Name:HORAN
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 1:100 W VILLAGE BLVD APT 7
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2331
Mailing Address - Country:US
Mailing Address - Phone:210-712-9394
Mailing Address - Fax:
Practice Address - Street 1:100 W VILLAGE BLVD APT 7
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2331
Practice Address - Country:US
Practice Address - Phone:210-712-9394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX862621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse