Individual
MANDY CHRISTINA HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28197232A
IN
171400000X
Health & Wellness Coach
20932H5
MD
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
Update your record
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