Individual
MS. MELINDA MARIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6571 BEVERLY DR, PARMA HEIGHTS, OH 44130-3824
(440) 310-0088
Mailing address
6571 BEVERLY DR., PARMA HEIGHTS, OH 44130-1841
(440) 310-0088
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN163626
OH
172V00000X
Community Health Worker
Primary
2944541
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193269
—
OH
05
—
2944541
—
OH
Enumeration date
05/21/2014
Last updated
03/22/2017
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