Individual
ANNELISE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 W POPLAR ST, ROGERS, AR 72756-4245
(479) 636-9235
Mailing address
1233 W POPLAR ST, ROGERS, AR 72756-4245
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
22054243
AR
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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