Individual
BRADLEY HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1476
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R33346
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17779
—
ND
Enumeration date
12/28/2012
Last updated
09/23/2025
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