Individual
CONSTANCE N COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7415
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-7088
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R114051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404737100
—
MD
01
—
68639503
BCBS MD
MD
01
—
F2320008
BCBS DC NCA
MD
Enumeration date
05/03/2006
Last updated
08/11/2017
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