Individual
MARY E HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
771 BURR OAK LN, OCONOMOWOC, WI 53066-8657
(414) 687-0936
Mailing address
771 BURR OAK LN, OCONOMOWOC, WI 53066-8657
(414) 687-0936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4109
WI
363LF0000X
Family Nurse Practitioner
Primary
4109
WI
Other
Enumeration date
08/10/2010
Last updated
03/10/2025
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