Individual
MRS. HEIDI ANNA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MSN,PMHNP-BC
Contact information
Practice address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(703) 596-4796
(703) 787-8210
Mailing address
12359 SUNRISE VALLEY DR STE 320, RESTON, VA 20191-3463
(703) 596-4797
(703) 787-8210
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024181691
VA
Other
Enumeration date
06/28/2021
Last updated
09/09/2022
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