Individual
STEPHEN M COOK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1860 TOWN CENTER PKWY, #G100 RESTON SURGERY CENTER, RESTON, VA 20190
(703) 471-0919
(703) 742-9081
Mailing address
PO BOX 2699, RESTON, VA 20195-0699
(703) 471-0919
(703) 742-9081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001104020
VA
367500000X
Certified Registered Nurse Anesthetist
0024104020
VA
Other
Enumeration date
12/21/2005
Last updated
09/11/2025
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