Individual
PAIGE E HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, MSN
Contact information
Practice address
972 BUCKINGHAM DR, ALLENTOWN, PA 18103-9789
(484) 264-7624
Mailing address
2024 LEHIGH ST STE 100, ALLENTOWN, PA 18103-4938
(610) 402-7800
(610) 402-7912
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026495
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP026495
PA LICENSE
PA
Enumeration date
11/09/2022
Last updated
11/09/2022
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