Individual
KOURTNEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20886 RIVERSIDE DR, GRUNDY, VA 24614-9597
(276) 935-7515
(276) 935-4351
Mailing address
20886 RIVERSIDE DR, GRUNDY, VA 24614-9597
(276) 935-7515
(276) 935-4351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024196121
VA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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