Provider Demographics
NPI:1558307637
Name:HORN, DENNIS (CRNA)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:HORN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 POWDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2041
Mailing Address - Fax:
Practice Address - Street 1:1861 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-718-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN328666L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3612132OtherAETNA-HMO
PA20052087OtherMERCY
PA50055774OtherCAPITAL BLUE CROSS
PA50055774OtherKEYSTONE HEALTH PLAN CENTRAL
PA001374091OtherHIGHMARK
PA2066311000OtherINDEPENDENCE BLUE CROSS
PA106593OtherGEISINGER
PA430068322OtherRR MEDICARE
PA7847605OtherAETNA-NON HMO
PA20052087OtherMERCY