Individual
MRS. SHANA LAVONNE COOK-PEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 450-6450
Mailing address
5878 HOPPER CT, NEW BRAUNFELS, TX 78132-3954
(860) 778-1609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1115256
TX
Other
Enumeration date
06/14/2023
Last updated
09/20/2023
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