Individual
RUSSELL HORNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
16620 N 40TH ST STE H4, PHOENIX, AZ 85032
(602) 464-9576
(602) 626-8901
Mailing address
16620 N 40TH ST STE E-1, PHOENIX, AZ 85032-3348
(602) 464-9576
(602) 626-8901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN105764
AZ
Other
Enumeration date
01/22/2007
Last updated
12/28/2020
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