Individual
BRAEDEN R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60701986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083166813
—
WA
01
—
P01747694
RR MEDICARE WVH
WA
Enumeration date
10/27/2016
Last updated
06/15/2022
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