Individual
MS. TIAH CHARLYE-ARLENE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5021 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6243
(804) 592-5437
Mailing address
4408 WATCHRUN DR, NORTH CHESTERFIELD, VA 23234-6116
(804) 347-2769
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024178057
VA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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