Healthcare Provider Details

I. General information

NPI: 1336620293
Provider Name (Legal Business Name): MARGARET PREVETZ COOK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET PREVETZ COOK

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 N HIGH ST
COLUMBUS OH
43201-1194
US

IV. Provider business mailing address

14536 CLARK STATE RD SW
PATASKALA OH
43062-9772
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-2700
  • Fax:
Mailing address:
  • Phone: 614-270-4040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.021608
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPRN.CNP.021608
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: