Individual
MR. SCOTT MICHAEL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 678-4444
Mailing address
3045 WOODRIDGE DR, TWIN FALLS, ID 83301-8148
(208) 404-8862
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
69241
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69241
NP NUMBER FOR IDAHO
ID
Enumeration date
08/06/2021
Last updated
08/06/2021
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