Individual
CAITLYN B COOKENMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-4909
Mailing address
7710 MERCY RD STE 2000, OMAHA, NE 68124-2323
(402) 717-4909
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37222
NE
208600000X
Surgery Physician
4301511929
MI
2086S0102X
Surgical Critical Care Physician
37222
NE
2086S0102X
Surgical Critical Care Physician
4301511929
MI
Other
Enumeration date
06/26/2019
Last updated
12/09/2025
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