Individual
SANDRA LEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
436 & 5TH STREET TED STEVENS WAY, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752
(541) 604-5097
Mailing address
10275 SW SHAMROCK LN, CULVER, OR 97734
(541) 604-5097
(484) 842-2117
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
086C03015N5
OR
367A00000X
Advanced Practice Midwife
Primary
612
AK
Other
Enumeration date
08/06/2007
Last updated
03/09/2012
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