Individual
REBECCA M COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
69234
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69234
BOARD OF NURSING
NM
Enumeration date
07/26/2021
Last updated
06/08/2023
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