Provider Demographics
NPI:1548480015
Name:HOODY, DANIEL LEO (FNP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LEO
Last Name:HOODY
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5252 F ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3201
Mailing Address - Country:US
Mailing Address - Phone:916-733-3715
Mailing Address - Fax:916-454-6914
Practice Address - Street 1:1315 ALHAMBRA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5246
Practice Address - Country:US
Practice Address - Phone:916-733-3715
Practice Address - Fax:916-454-6914
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP7755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP34811Medicare UPIN