Provider Demographics
NPI:1831492990
Name:HORNE, ELIZABETH (RCP RRT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:HORNE
Suffix:
Gender:F
Credentials:RCP RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4630 DUNCASTLE RD
Mailing Address - Street 2:APT 2D
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1641
Mailing Address - Country:US
Mailing Address - Phone:910-261-9323
Mailing Address - Fax:
Practice Address - Street 1:4630 DUNCASTLE RD
Practice Address - Street 2:APT 2D
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1641
Practice Address - Country:US
Practice Address - Phone:910-261-9323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-4422227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered