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NPI Code Detail

MEDICARE: COURTNEY MOOK MSN, APRN, FNP-C

MEDICARE:   COURTNEY  MOOK  MSN, APRN, FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0030766OH

General Provider Information

NPI Number : 1063167237
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MOOK MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 5344 GROVEWOOD LN
Second Line :
City : MEDINA
State : OH
Zip : 44256-6569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1917 WILLIAMSBURG WAY NE
Second Line :
City : LOUISVILLE
State : OH
Zip : 44641-8781
Country : US
Telephone Number : 330-875-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2022
Last Update Date : 02/16/2022

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Directions to “ COURTNEY MOOK MSN, APRN, FNP-C” Practice Location

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