Individual
HEATHER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1539 17 MILE RD, RIVERTON, WY 82501-9101
(307) 851-6424
Mailing address
1539 17 MILE RD, RIVERTON, WY 82501-9101
(307) 851-6424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27194
WY
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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