Healthcare Provider Details

I. General information

NPI: 1437605557
Provider Name (Legal Business Name): KATHLEEN COOK ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN FOILES NP

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11588 ARON CT
ESTERO FL
33928-3295
US

IV. Provider business mailing address

11588 ARON CT
ESTERO FL
33928-3295
US

V. Phone/Fax

Practice location:
  • Phone: 845-325-9495
  • Fax:
Mailing address:
  • Phone: 845-325-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License NumberRN9331726
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9331726
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9331726
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: