Individual
INGRID GUAY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1825 N 18TH ST, MONROE, LA 71201-4420
(318) 322-7999
Mailing address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 222-6226
(318) 524-7252
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
AP06191
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APO6191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042628APN
CDS
LA
01
—
060109
LOUISIANA PA#
LA
01
—
12290
RX AUTHORITY NUMBER
TX
05
—
2120107
—
LA
Enumeration date
07/19/2010
Last updated
06/02/2021
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