Healthcare Provider Details

I. General information

NPI: 1538215934
Provider Name (Legal Business Name): LANORA J COOK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 S AKERS ST
VISALIA CA
93277-8309
US

IV. Provider business mailing address

840 S AKERS ST
VISALIA CA
93277-8309
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-2000
  • Fax: 559-713-2454
Mailing address:
  • Phone: 559-972-6439
  • Fax: 559-713-2454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number16028
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: