Provider Demographics
NPI:1881365625
Name:HOOD, KATIE LOUISE (RN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LOUISE
Last Name:HOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ATHOL RD
Mailing Address - Street 2:
Mailing Address - City:ROYALSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01368-8930
Mailing Address - Country:US
Mailing Address - Phone:978-660-8138
Mailing Address - Fax:
Practice Address - Street 1:175 CONNORS ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2637
Practice Address - Country:US
Practice Address - Phone:978-410-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN260001163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse