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Individual

MRS. ELAINE MALVINA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
8615 RIDGELYS CHOICE DR, NOTTINGHAM, MD 21236-3026
(410) 766-8009
(410) 766-8028
Mailing address
3813 SALEM CHURCH RD, JARRETTSVILLE, MD 21084-1414
(410) 692-9602

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R063214
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R063214
MD

Other

Enumeration date
11/08/2005
Last updated
04/29/2022
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