Provider Demographics
NPI:1447671938
Name:HORSTMANN, LANI (MSN, RN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:LANI
Middle Name:
Last Name:HORSTMANN
Suffix:
Gender:F
Credentials:MSN, RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 FORUM BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6364
Mailing Address - Country:US
Mailing Address - Phone:573-445-0725
Mailing Address - Fax:573-445-1027
Practice Address - Street 1:2412 FORUM BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6364
Practice Address - Country:US
Practice Address - Phone:573-445-0725
Practice Address - Fax:573-445-1027
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2001017813363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics