Individual
MRS. GEORGIA ANN HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Contact information
Practice address
3805A SPRING ST STE 311, MOUNT PLEASANT, WI 53405-1600
(262) 687-6345
(262) 687-6344
Mailing address
3805A SPRING ST STE 311, MOUNT PLEASANT, WI 53405-1600
(262) 687-6345
(262) 687-6344
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
91360
WI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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