Provider Demographics
NPI:1447026083
Name:HORNE, MICHELLE MARION
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARION
Last Name:HORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 LEICESTER ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1406
Mailing Address - Country:US
Mailing Address - Phone:774-275-4402
Mailing Address - Fax:
Practice Address - Street 1:198 LEICESTER ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1406
Practice Address - Country:US
Practice Address - Phone:774-275-4402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2024-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula