Individual
MRS. BEVERLY ANN HORNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1845
(716) 891-7711
(716) 891-2032
Mailing address
13 SAGEBRUSH LN, LANCASTER, NY 14086-9431
(716) 685-6629
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380378-1
NY
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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