Individual
ANGELA J HORNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC,FNP-BC,DNP
Contact information
Practice address
1350 CHESTER BLVD STE B, RICHMOND, IN 47374-1962
(765) 935-4088
(765) 966-2596
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3217
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001941A
IN
363LF0000X
Family Nurse Practitioner
71001941A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000681778
ANTHEM
—
05
—
0067475
—
OH
05
—
200996510
—
IN
Enumeration date
05/02/2007
Last updated
05/14/2021
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