Individual
TANYA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S 4TH ST STE 301, GRAND FORKS, ND 58201-4776
(701) 757-2100
Mailing address
212 S 4TH ST STE 200, GRAND FORKS, ND 58201-4781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
54688
ND
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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