Individual
EVAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 225-2699
Mailing address
885 E TOWNSHIP ST, FAYETTEVILLE, AR 72703-3452
(479) 225-2699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R103213
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
230421
AR
Other
Enumeration date
07/06/2024
Last updated
11/22/2024
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