Individual
MS. MARY BETH HORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
282 WESTLAKE RD, HARDY, VA 24101-3967
(540) 721-2689
(540) 721-3718
Mailing address
282 WESTLAKE RD, HARDY, VA 24101-3967
(540) 721-2689
(540) 721-3718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010141508
—
VA
Enumeration date
10/25/2006
Last updated
03/28/2016
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