Individual
KRISTEN J HORKHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 686-5734
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
160537-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078024
CRNA CERT
WI
05
—
44366900
—
WI
Enumeration date
09/26/2007
Last updated
10/02/2023
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