Provider Demographics
NPI:1407434749
Name:HOOD, SENIECE REN'A (LPN)
Entity Type:Individual
Prefix:
First Name:SENIECE
Middle Name:REN'A
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 1:15 OVERBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WEST YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-3417
Mailing Address - Country:US
Mailing Address - Phone:516-309-6206
Mailing Address - Fax:
Practice Address - Street 1:15 OVERBROOK AVE
Practice Address - Street 2:
Practice Address - City:WEST YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-3417
Practice Address - Country:US
Practice Address - Phone:516-309-6206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340816-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty