Individual provider · Type 1 NPI
Daisianette Hodge, RN
Adult Psychiatric/Mental Health Registered Nurse · San Diego, CA
NPI number
1164953576
Active
Practice location
1250 Morena Blvd
San Diego, CA 92110-3815
Fax (619) 692-8779
Mailing address
8510 Larkdale Ave
San Diego, CA 92123-2050
Other practice locations
- 600 B St # 5, 1570, San Diego, CA 92101-4501 · (619) 615-0439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 686560 (CA) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95169891 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1164953576
Daisianette Hodge, RN's National Provider Identifier is 1164953576, issued on Mar 27, 2017. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in San Diego, CA. The record was last updated on Sep 17, 2018.