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NPI Code Detail

MEDICARE: MS. MAUREEN H COOK RN,MA,CCM

MEDICARE: MS. MAUREEN H COOK RN,MA,CCM
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 NurseR110820MD
2163W00000XRegistered NurseRN1014763DC

General Provider Information

NPI Number : 1265710347
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAUREEN H COOK RN,MA,CCM
Provider Business Mailing Address
First Line : 13435 S VIEW RD
Second Line :
City : NEWBURG
State : MD
Zip : 20664-2803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13435 S VIEW RD
Second Line :
City : NEWBURG
State : MD
Zip : 20664-2803
Country : US
Telephone Number : 301-751-5891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2011
Last Update Date : 07/24/2011

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