Healthcare Provider Details

I. General information

NPI: 1730325176
Provider Name (Legal Business Name): APRIL D COOK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 LOGAN AVE
WATERLOO IA
50703
US

IV. Provider business mailing address

1044 267TH ST
NASHUA IA
50658-9439
US

V. Phone/Fax

Practice location:
  • Phone: 319-235-5390
  • Fax:
Mailing address:
  • Phone: 641-330-7663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number121490
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: