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NPI Code Detail

MEDICARE: MRS. CHELSEY LYNNE COOK APRN, FNP-C

MEDICARE: MRS. CHELSEY LYNNE COOK APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician11601739-4405UT

General Provider Information

NPI Number : 1093592545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHELSEY LYNNE COOK APRN, FNP-C
Provider Business Mailing Address
First Line : 1900 N STATE ST STE 105
Second Line :
City : PROVO
State : UT
Zip : 84604-1354
Country : US
Telephone Number : 801-655-5245
Fax Number :
Provider Business Practice Location Address
First Line : 1900 N STATE ST STE 105
Second Line :
City : PROVO
State : UT
Zip : 84604-1354
Country : US
Telephone Number : 801-655-5245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 09/08/2023

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