MRS. DAISIANETTE HODGE RN NPI 1164953576

NPI Information

NPI: 1164953576
Provider Name: MRS. DAISIANETTE HODGE, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
1250 MORENA BLVD
SAN DIEGO, CA
ZIP 92110
Phone: (619) 692-8750
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MRS. Daisianette Hodge, RN is a psychiatric/mental health and adult registered nurse in San Diego, CA. MRS. Daisianette Hodge, RN NPI is 1164953576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 MORENA BLVD
SAN DIEGO, CA
ZIP 92110-815
Phone: (619) 692-8750
Fax: (619) 692-8779

The enumeration date for this NPI number is 3/27/2017 and was last updated on 9/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164X00000X	Licensed Vocational Nurse		686560	CALIFORNIA	No
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	95169891	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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