Individual
MRS. LISA P HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5664
Mailing address
PO BOX 560727, ANESTHESIA DEPARTMENT, CHARLOTTE, NC 28256-0727
(704) 863-5665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
072072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072072
AANA LICENSE
—
01
—
172470
NC NURSING LICENSE
NC
05
—
8052232
—
NC
05
—
NAN650
—
SC
Enumeration date
06/16/2006
Last updated
05/22/2008
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