COOK FAMILY PRACTICE INC NPI 1497302988

NPI Information

NPI: 1497302988
Provider Name: COOK FAMILY PRACTICE INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 03D2170991

Address:
2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ
ZIP 86401
Phone: (928) 565-6655
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COOK FAMILY PRACTICE INC is a family nurse practitioner in Kingman, AZ. COOK FAMILY PRACTICE INC NPI is 1497302988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ
ZIP 86401-207
Phone: (928) 565-6655
Fax: (855) 822-3328

The provider's authorized official is Karrie Ann Cook .
The authorized official title is President / Nurse Practitioner and has the following contact phone number (928) 565-6655.

The CLIA number assigned to this NPI record is 03D2170991 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 3/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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