| Mrs Wanda L Horn, MHNP | |
|
612 State Highway 25 S, Bloomfield, MO 63825-9566 | |
| (573) 803-3995 | |
| (573) 803-5222 |
| Full Name | Mrs Wanda L Horn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 612 State Highway 25 S, Bloomfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750600524 | NPI | - | NPPES |
| 126560 | Other | MO | MISSOURI STATE BOARD OF NURSING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 126560 (Missouri) | Primary |
| Entity Name | Broadway Family Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427566694 PECOS PAC ID: 3274898952 Enrollment ID: O20180530001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wanda L Horn, MHNP 612 Hwy 25 South, Bloomfield, MO 63825-9566 Ph: (573) 568-7377 | Mrs Wanda L Horn, MHNP 612 State Highway 25 S, Bloomfield, MO 63825-9566 Ph: (573) 803-3995 |
John R Armbruster, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 State Highway 25 S, Bloomfield, MO 63825 Phone: 573-803-3995 Fax: 573-803-5222 | |
Amy Holland, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1003 Hwy 25 N, Bloomfield, MO 63825 Phone: 573-568-3686 | |
Sheila Armbruster, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 612 State Highway 25 S, Bloomfield, MO 63825 Phone: 573-803-3995 Fax: 573-803-5222 |