Provider Demographics
NPI:1366422990
Name:HORSLEY, MAUREEN REEVES (ARNP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:REEVES
Last Name:HORSLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 11TH ST SW
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-5849
Mailing Address - Country:US
Mailing Address - Phone:712-580-4750
Mailing Address - Fax:712-580-4573
Practice Address - Street 1:1800 NORRIS PLACE
Practice Address - Street 2:1801 NORRIS PLACE
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-2217
Practice Address - Country:US
Practice Address - Phone:712-580-4570
Practice Address - Fax:712-580-4573
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC-052418363LP0200X
IAA-052418363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1366422990OtherNPI
IAS87506Medicare UPIN