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Individual

MS. THERESE MARIE HORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4465 CORDATA PKWY STE 102, BELLINGHAM, WA 98226-8037
(360) 738-2200
(360) 752-5282
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1412
(360) 729-3025

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60025091
WA
363LF0000X
Family Nurse Practitioner
AP60123650
WA
367A00000X
Advanced Practice Midwife
Primary
AP60316874
WA

Other

Enumeration date
01/10/2010
Last updated
08/06/2020
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