Provider Demographics
NPI:1659529204
Name:HORNEFFER, YVONNE RODRIGUEZ (NP)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:RODRIGUEZ
Last Name:HORNEFFER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:RODRIGUEZ
Other - Last Name:RAGSAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:10 CENTER DR BLDG 10 RM 13N214
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-7955
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR BLDG 10 RM 13N214
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-7955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000137363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health