Healthcare Provider Details

I. General information

NPI: 1588038921
Provider Name (Legal Business Name): TONYA MARIE HOOD PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

189 S STATE ST STE 245
CLEARFIELD UT
84015-1001
US

IV. Provider business mailing address

189 S STATE ST STE 245
CLEARFIELD UT
84015-1001
US

V. Phone/Fax

Practice location:
  • Phone: 385-424-8465
  • Fax: 385-240-0284
Mailing address:
  • Phone: 385-424-8465
  • Fax: 385-240-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5529987-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: