Doctor Name: | PATRICIA B TUCKER HOOVER |
NPI Number: | 1902044092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 484517 |
Business Practice Address: | 68600 Materhorn Vw Mountain Center, CA - 925613618 |
Business Phone Number: | 7608613940 |
Business Fax Number: | |
Mailing Address: | 68600 Materhorn Vw, MOUNTAIN CENTER |
State: | CA |
Postal Code: | 925613618 |
Phone Number: | 7608613940 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2009 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 484517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |