Individual
MS. ALICIA COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
650 LINCOLN STREET, WORCESTER, MA 01605
(508) 532-7318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2303994
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2303994
MA
Other
Enumeration date
09/28/2015
Last updated
08/30/2019
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