Individual
MRS. VIRGINIA MADELEINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6414 PRATT AVE, BALTIMORE, MD 21212-1029
(410) 218-1868
Mailing address
6414 PRATT AVE, BALTIMORE, MD 21212-1029
(410) 218-1868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R071445
MD
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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