Individual
MRS. MARYELLEN HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2000
Mailing address
154 LAKE DR, MAHOPAC, NY 10541-3627
(845) 729-3792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14803
CT
363LF0000X
Family Nurse Practitioner
Primary
338127
NY
Other
Enumeration date
07/15/2013
Last updated
05/20/2025
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