Provider Demographics
NPI:1447830948
Name:HORLACHER, HEIDI ANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:ANN
Last Name:HORLACHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2077 E MARYLAND CIR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-6708
Mailing Address - Country:US
Mailing Address - Phone:480-406-1849
Mailing Address - Fax:
Practice Address - Street 1:10150 S PETUNIA WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-4318
Practice Address - Country:US
Practice Address - Phone:801-878-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4801013-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily