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Individual

CAROLYN HORIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
621 MEMORIAL DR STE 402, SOUTH BEND, IN 46601-1074
(574) 400-4550
(574) 400-4551
Mailing address
2401 VALLEY DR, VALPARAISO, IN 46383-2520
(219) 413-5100
(219) 462-9502

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F02180133
IL
363LF0000X
Family Nurse Practitioner
Primary
71008338A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300019356
IN
Enumeration date
06/02/2018
Last updated
05/07/2020
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