Individual
MS. NINA MARIA HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4921 PARKVIEW PL, DIV IM MEDICAL ONCOLOGY, STE 7A, 7B, 7C, SAINT LOUIS, MO 63110-1032
(314) 454-8304
(314) 454-5656
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-8304
(314) 454-5656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016002178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420029494
—
MO
Enumeration date
02/08/2016
Last updated
04/17/2025
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