Individual
LISA JO HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
556 AVENUE F, POWELL, WY 82435-2420
(307) 272-3605
Mailing address
556 AVENUE F, POWELL, WY 82435-2420
(307) 272-3605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21305
WY
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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