Doctor Name: | ELIZABETH LONGINOTTI HORTON |
NPI Number: | 1790142339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 88375 |
Business Practice Address: | 115 Albany Ln Mount Hope, WV - 258809648 |
Business Phone Number: | 5407183935 |
Business Fax Number: | |
Mailing Address: | 115 Albany Ln, MOUNT HOPE |
State: | WV |
Postal Code: | 258809648 |
Phone Number: | 5407183935 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2016 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0003X |
License Number: | 88375 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal, Low-Risk |
Taxonomy Definition: |