Provider Demographics
NPI:1477372928
Name:HOOVER, MONICA MICHELLE (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MICHELLE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5630 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6991
Mailing Address - Country:US
Mailing Address - Phone:972-897-2297
Mailing Address - Fax:
Practice Address - Street 1:5630 DEERFIELD LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-6991
Practice Address - Country:US
Practice Address - Phone:972-897-2297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-302445163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant