Individual
LISA ANN HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
3633 BUNKER LAKE BLVD NE, ANDOVER, MN 55403-9998
(763) 421-5011
(763) 421-5011
Mailing address
1555 NORTHWAY DRIVE #110, CENTRACARE COMPLEX CARE CLINIC, ST CLOUD, MN 56303
(320) 255-7195
(320) 200-3245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP5408
MN
Other
Enumeration date
10/31/2017
Last updated
02/24/2026
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