Individual
MRS. MARY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1807 W DICKERSON ST STE D, BOZEMAN, MT 59715-1311
(406) 404-7384
Mailing address
1807 W DICKERSON ST STE D, BOZEMAN, MT 59715-1311
(406) 404-7384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103234
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128408
—
WA
Enumeration date
01/15/2009
Last updated
07/15/2024
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