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NPI Code Detail

MEDICARE: DE'ANNA TA'LETTE COOK R.N

MEDICARE:   DE'ANNA TA'LETTE COOK  R.N
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.412679-OH

General Provider Information

NPI Number : 1013385574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DE'ANNA TA'LETTE COOK R.N
Provider Business Mailing Address
First Line : 3251 E 142ND ST
Second Line : UPSTAIRS
City : CLEVELAND
State : OH
Zip : 44120-4006
Country : US
Telephone Number : 216-224-1032
Fax Number :
Provider Business Practice Location Address
First Line : 3251 E 142ND ST
Second Line : UPSTAIRS
City : CLEVELAND
State : OH
Zip : 44120-4006
Country : US
Telephone Number : 216-224-1032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2015
Last Update Date : 09/14/2015

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Directions to “ DE'ANNA TA'LETTE COOK R.N” Practice Location

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