Individual
MS. CHRISTINE MARIE HORNECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RCS
Contact information
Practice address
911 FAIRVIEW DR, APT. 4, PLYMOUTH, WI 53073-1335
(920) 449-5258
Mailing address
911 FAIRVIEW DR, APT. 4, PLYMOUTH, WI 53073-1335
(920) 449-5258
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35052400
—
WI
Enumeration date
03/11/2008
Last updated
03/11/2008
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