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NPI Code Detail

MEDICARE: ELIZABETH E COOK NP

MEDICARE:   ELIZABETH E 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
1363LF0000XFamily Nurse PractitionerR31685NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538239579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH E COOK NP
Provider Business Mailing Address
First Line : 5904 HOLLY AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2472
Country : US
Telephone Number : 505-298-2505
Fax Number :
Provider Business Practice Location Address
First Line : 5904 HOLLY AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2472
Country : US
Telephone Number : 505-298-2505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 01/13/2012

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Directions to “ ELIZABETH E COOK NP” Practice Location

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