Individual
MARIE E COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0356
(612) 625-4166
Mailing address
1440 96TH ST E, INVER GROVE HEIGHTS, MN 55077-4622
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 089787-3
MN
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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