1457207482 NPI number — ELIZABETH MAE VANHORN APRN,FNP-C, RNC-OB

Table of content: ELIZABETH MAE VANHORN APRN,FNP-C, RNC-OB (NPI 1457207482)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457207482 NPI number — ELIZABETH MAE VANHORN APRN,FNP-C, RNC-OB

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VANHORN
Provider First Name:
ELIZABETH
Provider Middle Name:
MAE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN,FNP-C, RNC-OB
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457207482
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
157 TOWNE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLAINFIELD
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05667-9425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-454-8336
Provider Business Mailing Address Fax Number:
802-464-5249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
157 TOWNE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05667-9425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-454-8336
Provider Business Practice Location Address Fax Number:
802-464-5249
Provider Enumeration Date:
03/10/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP2300X , with the licence number:  101.0138834 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)