Provider Demographics
NPI:1306106075
Name:HORTON, YVETTE (RN)
Entity type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 THROOP AVENUE
Mailing Address - Street 2:PS-121
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469
Mailing Address - Country:US
Mailing Address - Phone:718-655-2055
Mailing Address - Fax:718-519-2613
Practice Address - Street 1:2750 THROOP AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5327
Practice Address - Country:US
Practice Address - Phone:718-654-2055
Practice Address - Fax:718-519-2613
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY450067163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse