Individual
MISS GINA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
601 W RIVERSIDE DR STE 4, PARKER, AZ 85344-5119
(928) 256-4110
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 315-7910
(289) 722-6113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
247215
AZ
363LF0000X
Family Nurse Practitioner
R28493
ND
363LP2300X
Primary Care Nurse Practitioner
Primary
247215
AZ
363LP2300X
Primary Care Nurse Practitioner
R28492
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19956
—
ND
01
—
247215
CERTIFIED NURSE PRACTITIONER LICENSE
AZ
Enumeration date
12/20/2007
Last updated
04/12/2022
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