| Mr Dennis Duane Horner Jr, NP | |
|
835 E Fairhaven Ave, Burlington, WA 98233-1916 | |
| (360) 755-0641 | |
| (360) 755-1405 |
| Full Name | Mr Dennis Duane Horner Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 835 E Fairhaven Ave, Burlington, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669794160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60691564 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN175950 (Georgia) | Primary |
| Entity Name | Toccoa Clinic Medical Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609896885 PECOS PAC ID: 5597652164 Enrollment ID: O20040301000262 |
| Entity Name | Coastal Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298751 PECOS PAC ID: 0345463683 Enrollment ID: O20140731001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dennis Duane Horner Jr, NP 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1462 | Mr Dennis Duane Horner Jr, NP 835 E Fairhaven Ave, Burlington, WA 98233-1916 Ph: (360) 755-0641 |
Sondra Marie Beck, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 S Burlington Blvd, Burlington, WA 98233 Phone: 360-757-0027 Fax: 360-757-3698 | |
Cassandra Rae Rommel, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 E George Hopper Rd Ste 101, Burlington, WA 98233 Phone: 360-982-2620 |