Individual
CAROLYN COOK
Active
Individual
CAROLYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28190791A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28190791A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000982590
ANTHEM PROVIDER NUMBER
IN
05
—
201336930
—
IN
Enumeration date
06/29/2015
Last updated
08/04/2025
Update your record
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