Individual
SHELIA C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1029831
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000081204
BLUE CROSS
AL
05
—
000081204
—
AL
01
—
051518592
BLUE CROSS
AL
01
—
12376
HEALTHSPRING OF ALABAMA
AL
01
—
723383874A
GEORGIA MEDICAID
GA
01
—
P00255688
RAILROAD MEDICARE
AL
Enumeration date
06/22/2006
Last updated
07/08/2007
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