Individual
MS. LAURA C. COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
400 PARNASSUS AVE, 2ND FL, SAN FRANCISCO, CA 94143-0314
(415) 476-5892
(415) 476-1343
Mailing address
550 16TH ST, SAN FRANCISCO, CA 94158-2545
(415) 476-5892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
576727
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
12657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005767270
—
CA
Enumeration date
10/04/2006
Last updated
09/24/2019
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