Provider Demographics
NPI:1093153074
Name:HOOD, RACHAEL LOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:LOUISE
Last Name:HOOD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 GENEVA RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-1425
Mailing Address - Country:US
Mailing Address - Phone:937-626-8837
Mailing Address - Fax:
Practice Address - Street 1:201 GENEVA RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-1425
Practice Address - Country:US
Practice Address - Phone:937-626-8837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.152352-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse