Individual
MS. ELIZABETH DIANA COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MN ANP AOCN
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6976
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6976
CA
Other
Enumeration date
01/11/2011
Last updated
12/04/2020
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