Individual
DYLAN C HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4750 CENTRE AVE APT 30, PITTSBURGH, PA 15213-1739
(814) 341-0735
Mailing address
4750 CENTRE AVE APT 30, PITTSBURGH, PA 15213-1739
(814) 341-0735
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN672576
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN672576
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103856276
—
PA
01
—
1M8392
MEDICARE
PA
Enumeration date
12/18/2019
Last updated
11/11/2021
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