Bethany Joy Horna, MS

Individual provider Active NPI Case Manager/Care Coordinator · St James, MO

NPI 1396936613 · NPPES record last updated Aug 5, 2007

Key facts

NPI
1396936613
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
2007022188 (MO)
Practice address
550 State Rd DD
St James, MO 65559-0189
Phone
(573) 265-2506
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2007022188MOMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 2007022188 MO Yes

Addresses

Primary practice location

550 State Rd DD
St James, MO 65559-0189

Mailing address

550 State Rd DD
St James, MO 65559-0189
Phone (573) 265-2506

Other providers in St James, MO

All providers in St James, MO · Case Manager/Care Coordinator in Missouri

Sources for this page

Verify at the official NPI Registry.