Individual
ELLEN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(267) 350-5250
Mailing address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN766739
PA
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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