Healthcare Provider Details

I. General information

NPI: 1114831856
Provider Name (Legal Business Name): AMANDA SUSAN COOK MSN, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 1/2 S 13TH ST
NORFOLK NE
68701-5753
US

IV. Provider business mailing address

804 PINE HEIGHTS RD
WAYNE NE
68787-1511
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-9600
  • Fax:
Mailing address:
  • Phone: 402-640-5968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number117173
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: