Individual
THEIL L COOKE JR.
Active
Individual
THEIL L COOKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN178632
AZ
363LF0000X
Family Nurse Practitioner
233616
AZ
363LF0000X
Family Nurse Practitioner
Primary
8273152-8900
UT
Other
Enumeration date
10/04/2019
Last updated
02/01/2023
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