Provider Demographics
NPI:1316770555
Name:HORSTMANN, MARIA A (FDN-P, BCFWP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:HORSTMANN
Suffix:
Gender:F
Credentials:FDN-P, BCFWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 LONGCOURT CIR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-1795
Mailing Address - Country:US
Mailing Address - Phone:770-835-5490
Mailing Address - Fax:
Practice Address - Street 1:2526 LONGCOURT CIR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-1795
Practice Address - Country:US
Practice Address - Phone:770-835-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach