Healthcare Provider Details

I. General information

NPI: 1215965793
Provider Name (Legal Business Name): MARY A HOOD RNBSNMSNCRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 W MAIN ST
UNIONTOWN PA
15401-2868
US

IV. Provider business mailing address

306 E CEDAR AVE
CONNELLSVILLE PA
15425-4550
US

V. Phone/Fax

Practice location:
  • Phone: 724-439-4990
  • Fax: 724-439-4155
Mailing address:
  • Phone: 724-628-0971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP006538W
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: