| Doctor Name: | MAXINE ROSE HORTON |
| NPI Number: | 1013273325 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 21765 |
| Business Practice Address: | 516 East Nizhoni Blvd. Gallup, NM - 873011337 |
| Business Phone Number: | 5057221000 |
| Business Fax Number: | 5594884999 |
| Mailing Address: | 1691 The Alameda, SAN JOSE |
| State: | CA |
| Postal Code: | 951262203 |
| Phone Number: | 4087953619 |
| Fax Number: | 4082870405 |
| NPI Enumeration Date: | 04/11/2012 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 21765 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |