Individual
ANDREW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4600 VALLEY RD STE 200, LINCOLN, NE 68510-4882
(402) 483-4571
(402) 483-5633
Mailing address
4600 VALLEY RD STE 200, LINCOLN, NE 68510-4882
(402) 483-4571
(402) 483-5633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2764
NE
363AS0400X
Surgical Physician Assistant
PENDING
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027131701
—
NE
05
—
47081304012
—
NE
Enumeration date
05/09/2022
Last updated
03/01/2023
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