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NPI Code Detail

MEDICARE: CAROLYNE MARIE COOK APRN

MEDICARE:   CAROLYNE MARIE COOK  APRN
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
1363LF0000XFamily Nurse Practitioner75892KS

General Provider Information

NPI Number : 1376881557
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYNE MARIE COOK APRN
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD
Second Line : MS 3021
City : KANSAS CITY
State : KS
Zip : 66160-7816
Country : US
Telephone Number : 913-588-6122
Fax Number : 913-945-8225
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line : MS 3021
City : KANSAS CITY
State : KS
Zip : 66160-7816
Country : US
Telephone Number : 913-588-6122
Fax Number : 913-945-8225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2013
Last Update Date : 01/23/2013

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Directions to “ CAROLYNE MARIE COOK APRN” Practice Location

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