Provider Demographics
NPI:1124452370
Name:HORNER, CHRISTOPHER T (MSN, FNP)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:T
Last Name:HORNER
Suffix:
Gender:M
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 KOLTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3570
Mailing Address - Country:US
Mailing Address - Phone:724-357-7196
Mailing Address - Fax:724-357-7279
Practice Address - Street 1:802 MCKINLEY STREET
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:PA
Practice Address - Zip Code:15923-0038
Practice Address - Country:US
Practice Address - Phone:724-676-4709
Practice Address - Fax:724-676-4752
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN603096363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner