Individual
REBECCA LYN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60114
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255800462
—
ID
05
—
1255800462
—
WA
01
—
1912458787
GROUP NPI
ID
Enumeration date
11/16/2018
Last updated
01/08/2019
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