Provider Demographics
NPI:1215965793
Name:HOOD, MARY A (RNBSNMSNCRNP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:A
Last Name:HOOD
Suffix:
Gender:F
Credentials:RNBSNMSNCRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-4550
Mailing Address - Country:US
Mailing Address - Phone:724-628-0971
Mailing Address - Fax:
Practice Address - Street 1:404 W MAIN ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2868
Practice Address - Country:US
Practice Address - Phone:724-439-4990
Practice Address - Fax:724-439-4155
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006538W363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily