Individual
WYATT MYRON COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 OAK ST, SHELDON, IA 51201-1242
(712) 324-5356
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A173793
IA
363LF0000X
Family Nurse Practitioner
Primary
A173793
IA
363LP2300X
Primary Care Nurse Practitioner
A173793
IA
Other
Enumeration date
04/03/2023
Last updated
07/11/2023
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