Individual
MS. ELLEN M HOROSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
223 ROUTE 61 S, SCHUYLKILL HAVEN, PA 17972-9704
(570) 385-8450
(570) 385-8451
Mailing address
223 ROUTE 61 S, SCHUYLKILL HAVEN, PA 17972-9704
(570) 385-8450
(570) 385-8451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN265651
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018849970001
—
PA
Enumeration date
05/22/2008
Last updated
05/22/2008
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