Individual
MARILEE K HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7650 E PARHAM RD, SUITE 100, RICHMOND, VA 23294-4373
(804) 288-3136
(804) 288-4538
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001292
VA
363AS0400X
Surgical Physician Assistant
0110001292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008940681
—
VA
01
—
0536744
AETNA HMO
VA
01
—
0900313
UNITED HEALTHCARE
VA
01
—
285577
SOUTHERN HEALTH
VA
01
—
30804
SH CARENET
VA
01
—
540885859
C&O EMPLOYEE'S HEALTHCARE
VA
01
—
59128
ANTHEM HEALTHKEEPERS
VA
Enumeration date
06/13/2006
Last updated
01/29/2013
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