Provider Demographics
NPI:1174611537
Name:HOOD, ANNETTE (MSN,RN,CS-ANP)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:HOOD
Suffix:
Gender:F
Credentials:MSN,RN,CS-ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 GRAHAM RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8018
Mailing Address - Country:US
Mailing Address - Phone:314-741-1600
Mailing Address - Fax:314-741-1677
Practice Address - Street 1:1265 GRAHAM RD STE 1
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8018
Practice Address - Country:US
Practice Address - Phone:314-741-1600
Practice Address - Fax:314-741-1677
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-310356163WN0300X
MO082960163WN0300X, 363L00000X
IL209005196363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0300XNursing Service ProvidersRegistered NurseNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO425714409Medicaid
MOS63745Medicare UPIN