Provider Demographics
NPI:1205175049
Name:HOOD, BRITTANNY NICOLE
Entity type:Individual
Prefix:
First Name:BRITTANNY
Middle Name:NICOLE
Last Name:HOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6024 44TH ST
Mailing Address - Street 2:# 245093
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-4633
Mailing Address - Country:US
Mailing Address - Phone:916-534-6887
Mailing Address - Fax:
Practice Address - Street 1:4908 DINGMAN CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-1312
Practice Address - Country:US
Practice Address - Phone:916-534-6887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGNB32013-02808374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide