Individual
SAMANTHA JANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
395 W COUGAR BLVD STE 603, PROVO, UT 84604-3331
(801) 357-0423
Mailing address
200 S 1350 E APT C501, LEHI, UT 84043-4481
(801) 898-1676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10778291-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
10778291-4405
UT
Other
Enumeration date
06/28/2022
Last updated
07/13/2022
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