Individual
ANIDA A COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
142 N 24TH ST, NEW CASTLE, IN 47362-3513
(654) 624-8634
Mailing address
142 N 24TH ST, NEW CASTLE, IN 47362-3513
(654) 624-8634
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27049566A
IN
Other
Enumeration date
07/28/2007
Last updated
07/28/2007
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