Organization
HORIZON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE M HARDIN RN (SOLE MEMBER)
(937) 264-3155
Entity
Organization
Contact information
Practice address
400 CORPORATE CENTER DR, VANDALIA, OH 45377-1164
(937) 387-9168
(937) 387-9224
Mailing address
400 CORPORATE CENTER DR, VANDALIA, OH 45377-1164
(937) 387-9168
(937) 387-9224
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130133
—
OH
Enumeration date
02/17/2015
Last updated
02/08/2017
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