Individual
JEFFREY C. HORSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083500-23
NH
367500000X
Certified Registered Nurse Anesthetist
9196064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305444600
—
FL
01
—
G3264
BCBS
FL
Enumeration date
05/17/2006
Last updated
09/27/2020
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