Individual
DESIREE DAWN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, PMHNP
Contact information
Practice address
3750 E. COUNTRY FIELD CIRCLE, SUITE C, WASILLA, AK 99654
(907) 357-2955
(907) 357-9348
Mailing address
3505 E MERIDIAN PARK LOOP STE 200, WASILLA, AK 99654-7242
(907) 357-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
126978
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023001598
AK
Other
Enumeration date
11/07/2017
Last updated
11/01/2023
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