Individual
RACHEL COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 MINNEHAHA AVE, MINNEAPOLIS, MN 55417-1647
(612) 548-5700
Mailing address
7907 110TH PL N, CHAMPLIN, MN 55316-3756
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
80979-3
MN
164X00000X
Licensed Vocational Nurse
VN703557
CA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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