Healthcare Provider Details

I. General information

NPI: 1538165683
Provider Name (Legal Business Name): LINDA C COOK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ARCH ST STE 300
AKRON OH
44304-1473
US

IV. Provider business mailing address

95 ARCH ST STE 300
AKRON OH
44304-1473
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-8195
  • Fax: 330-253-0853
Mailing address:
  • Phone: 330-253-8195
  • Fax: 330-253-0853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number125898
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: