Individual provider · Type 1 NPI
Elsa Boayes Horn, MD
Specialist · Plymouth, WI
NPI number
1568599207
Active
Practice location
W9071 Forest Drive
Plymouth, WI 53073-0031
Fax (920) 526-3819
Mailing address
22 Ridgewood Ct
Fond Du Lac, WI 54935-7623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 19343 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1568599207
Elsa Boayes Horn, MD's National Provider Identifier is 1568599207, issued on Feb 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plymouth, WI. The record was last updated on Jul 8, 2007.