Healthcare Provider Details

I. General information

NPI: 1174611537
Provider Name (Legal Business Name): ANNETTE HOOD MSN,RN,CS-ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 GRAHAM RD STE 1
FLORISSANT MO
63031-8018
US

IV. Provider business mailing address

1265 GRAHAM RD STE 1
FLORISSANT MO
63031-8018
US

V. Phone/Fax

Practice location:
  • Phone: 314-741-1600
  • Fax: 314-741-1677
Mailing address:
  • Phone: 314-741-1600
  • Fax: 314-741-1677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number041-310356
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number082960
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209005196
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number082960
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: