# MRS. WANDA L HORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750600524
- **Gender:** F
- **Credential:** MHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 126560 | MO | Yes |

## Other

- **Enumeration date:** 05/19/2010
- **Last updated:** 08/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 126560 | MISSOURI STATE BOARD OF NURSING LICENSE | MO |