Virginia Horn, REGISTERED NURSE
Individual provider Active NPI Registered Nurse · Pine Ridge, SD
NPI 1063666071 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1063666071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RO30725 (SD)
- Practice address
- 1201 East Highway 18
Pine Ridge, SD 57770 - Phone
- (605) 867-6369
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO30725 | SD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RO30725 | SD | Yes |
Addresses
Primary practice location
1201 East Highway 18
Pine Ridge, SD 57770
Mailing address
PO Box 1637
Pine Ridge, SD 57770-1637
Phone (605) 867-6369
Other providers in Pine Ridge, SD
- Joan E Gibson
- Elaine Gilfillan
- Nicole Joy Glines
- Paul Douglas Hall
- Johanna Christine Hewitt
- Barbara Gale Hosei
- Holly Humphries
- Indianhealthservices
- Desmon Inocencio
- Roberta M Jacobson
All providers in Pine Ridge, SD · Registered Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.