Healthcare Provider Details
I. General information
NPI: 1770689630
Provider Name (Legal Business Name): RENE HOOD CATHEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
180 DEBUYS RD
BILOXI MS
39531-4402
US
IV. Provider business mailing address
3003 SHORTCUT RD
PASCAGOULA MS
39567-1810
US
V. Phone/Fax
- Phone: 228-273-4096
- Fax: 228-594-1765
- Phone: 601-847-3306
- Fax: 601-782-9920
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | R855920 |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: