Individual
BEVERLY H COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
Mailing address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
(518) 358-6245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F330676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330676
—
NY
Enumeration date
07/17/2006
Last updated
03/14/2012
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