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NPI Code Detail

MEDICARE: MARGARET PREVETZ COOK NP

MEDICARE:   MARGARET PREVETZ COOK  NP
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.021608OH
2207QA0505XAdult Medicine PhysicianAPRN.CNP.021608OH

General Provider Information

NPI Number : 1336620293
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET PREVETZ COOK NP
Provider Business Mailing Address
First Line : 14536 CLARK STATE RD SW
Second Line :
City : PATASKALA
State : OH
Zip : 43062-9772
Country : US
Telephone Number : 614-270-4040
Fax Number :
Provider Business Practice Location Address
First Line : 2231 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-1194
Country : US
Telephone Number : 614-293-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 02/06/2019

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