Individual
CAMILLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12431 ADVENTURE DR, RIVERVIEW, FL 33579-7789
(614) 975-4446
Mailing address
12431 ADVENTURE DR, RIVERVIEW, FL 33579-7789
(614) 975-4446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007637
FL
363LF0000X
Family Nurse Practitioner
LE-00027056
OH
Other
Enumeration date
02/26/2019
Last updated
01/04/2021
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