Individual
MRS. EMALENE C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Contact information
Practice address
113 CUMBERLAND ROAD, CEDAR BLUFF, VA 24609
(276) 964-6702
(276) 964-5669
Mailing address
PO BOX 810, CEDAR BLUFF, VA 24609-0810
(276) 964-6702
(276) 964-5669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024056437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945522
—
VA
01
—
500001603
MEDICARE RAILROAD
VA
Enumeration date
09/22/2005
Last updated
03/03/2009
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