Individual
MRS. LESLIE B HORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1701 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3084
(405) 844-4978
(405) 844-0562
Mailing address
1701 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3084
(405) 844-4978
(405) 844-0562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
84227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200246990A
—
OK
Enumeration date
05/20/2009
Last updated
04/17/2020
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