Healthcare Provider Details

I. General information

NPI: 1043370711
Provider Name (Legal Business Name): NANCY A HOOD RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOODLAND CENTERS 1125 6TH STREET SE
WILLMAR MN
56201-4675
US

IV. Provider business mailing address

6550 240TH AVE NE
NEW LONDON MN
56273
US

V. Phone/Fax

Practice location:
  • Phone: 320-231-9148
  • Fax: 320-231-9140
Mailing address:
  • Phone: 320-235-4613
  • Fax: 320-231-9140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR1007792
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number00877993
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: