Individual
KATHLEEN HORNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3309 W ATHENEE CT, TUCSON, AZ 85746-1076
(520) 883-2033
Mailing address
3309 W ATHENEE CT, TUCSON, AZ 85746-1076
(520) 883-2033
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN033744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN033744
AZ STATE BOARD OF NURSING
AZ
Enumeration date
11/07/2017
Last updated
11/07/2017
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