MRS. WANDA L HORN (NPI# 1750600524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750600524 |
| Entity Type | Individual |
| Full Name | MRS. WANDA L HORN |
| Credential | MHNP |
| Practice Address |
714 Broadway St Cape Girardeau MO 63701-5514 |
| Practice Telephone | 5738371124 |
| Practice Fax Number | 5738035222 |
| Mailing Telephone | 5738371124 |
| Mailing Fax Number | 5738035222 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
126560 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI STATE BOARD OF NURSING LICENSE | 126560 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 224 N Frederick St, Cape Girardeau, MO 637015626 | 5733320121 | |
| 612 State Highway 25 S, Bloomfield, MO 638259566 | 5738033995 | 5738035222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154411999 | Wanda Horn | Internal Medicine | Mmc - Dept. of Medicine, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-13 |
| Street Address |
714 BROADWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427566694 | Broadway Family Clinic LLC | Nurse Practitioner | 714 Broadway St, Cape Girardeau, MO 63701 | 2018-01-22 |
| 1700277878 | Sheila Armbruster | Nurse Practitioner | 714 Broadway St, Cape Girardeau, MO 63701 | 2015-02-11 |
| 1003207242 | John R Armbruster | Nurse Practitioner | 714 Broadway St, Cape Girardeau, MO 63701-5514 | 2015-02-10 |
| 1922004621 | Robert W. George | Family Medicine | 714 Broadway St, Cape Girardeau, MO 63701-5514 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124072350 | Daniela A Kantcheva | Nurse Practitioner | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2006-05-20 |
| 1427566694 | Broadway Family Clinic LLC | Nurse Practitioner | 714 Broadway St, Cape Girardeau, MO 63701 | 2018-01-22 |
| 1033627997 | Erin Omalley | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-01-12 |
| 1174061204 | Paul Stemmerman | Nurse Practitioner | 106 Farrar Dr, Suite 109, Cape Girardeau, MO 63701-4902 | 2017-02-09 |
| 1962803916 | Tiffany Armes | Nurse Practitioner | 106 Farrar Dr, Cape Girardeau, MO 63701-4902 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.