Individual
MS. PATRICE MARY HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 JORDAN LANE, PRIME HEALTHCARE, WETHERSFIELD, CT 06109
(860) 263-0263
(860) 263-0567
Mailing address
231 RAYMOND RD, WEST HARTFORD, CT 06107-2539
(860) 301-3132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000508
APRN
CT
05
—
004236007
—
CT
01
—
03145972
APRN
CT
Enumeration date
01/11/2006
Last updated
06/24/2021
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