Provider Demographics
NPI:1114745213
Name:HORNE, VICTORIA MARIE (CNA)
Entity type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:MARIE
Last Name:HORNE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 E LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-2714
Mailing Address - Country:US
Mailing Address - Phone:910-785-0685
Mailing Address - Fax:
Practice Address - Street 1:414 E LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-2714
Practice Address - Country:US
Practice Address - Phone:910-785-0685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98243376K00000X
NC546849376K00000X
VA1401223468376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide