Individual
DANIELLE LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
175 NORTHUMBERLAND STREET, DANVILLE, PA 17822-9800
(570) 284-4575
(570) 284-4577
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022190
PA
363LF0000X
Family Nurse Practitioner
SP022190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YWV80119100000
KEYSTONE HEALTH PLAN CENTRAL
PA
Enumeration date
12/08/2009
Last updated
02/22/2021
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