Individual
LAURA K COOK-GONGORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19636 N 27TH AVE STE 306, PHOENIX, AZ 85027-4019
(480) 246-3000
Mailing address
19636 N 27TH AVE STE 306, PHOENIX, AZ 85027-4019
(480) 773-9279
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RNP236347
AZ
363LA2200X
Adult Health Nurse Practitioner
RNP236347
AZ
363LG0600X
Gerontology Nurse Practitioner
RNP236347
AZ
Other
Enumeration date
02/22/2020
Last updated
03/27/2025
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