Healthcare Provider Details

I. General information

NPI: 1780633040
Provider Name (Legal Business Name): LOUISE A COOK CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOUISE ZAMMERILLA CRNA

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LEWIS RUN RD SUITE 202
PITTSBURGH PA
15122-3056
US

IV. Provider business mailing address

265 SCOTT HAVEN RD
SUTERSVILLE PA
15083-1349
US

V. Phone/Fax

Practice location:
  • Phone: 412-469-6964
  • Fax: 412-469-6948
Mailing address:
  • Phone: 412-965-4215
  • Fax: 877-727-0185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN224379L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: