Healthcare Provider Details

I. General information

NPI: 1760651988
Provider Name (Legal Business Name): BARBARA ANITA COOK CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 06/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 300
COLORADO SPRINGS CO
80910-3113
US

IV. Provider business mailing address

8890 N UNION BLVD STE 160
COLORADO SPRINGS CO
80920-7799
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-6363
  • Fax: 719-365-5801
Mailing address:
  • Phone: 719-365-9950
  • Fax: 719-365-9969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number83913
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: