Provider Demographics
NPI:1659796605
Name:HOOD, LA NITA R (DNP, CRNP)
Entity Type:Individual
Prefix:DR
First Name:LA NITA
Middle Name:R
Last Name:HOOD
Suffix:
Gender:F
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 NATIONAL PLZ STE 326
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-1152
Mailing Address - Country:US
Mailing Address - Phone:240-273-3130
Mailing Address - Fax:240-273-3131
Practice Address - Street 1:137 NATIONAL PLZ STE 326
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1152
Practice Address - Country:US
Practice Address - Phone:240-273-3130
Practice Address - Fax:240-273-3131
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2023-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN68001363LF0000X
MDR210048363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC013373743Medicaid
MD521015100Medicaid