Horan, Patrice Mary

Horan, Patrice Mary is an sole proprietor health care provider with primary practice located at 30 Jordan Lane Prime Healthcare, Wethersfield CT 06109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Horan, Patrice Mary can be contacted via phone (860) 263-0263.

Contact Information

Primary practice address
30 Jordan Lane Prime Healthcare Wethersfield CT 06109
Phone: (860) 263-0263
Fax: (860) 263-0567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000508 Connecticut

Profile Details

NPI number 1114906948
LBN Legal business name Horan, Patrice Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2006
Last updated Jun 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114906948 NPPES
Connecticut MEDICAID 004236007
Connecticut Other 000508
Connecticut Other 03145972

Popular Providers