Individual
SHANNON LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
800 E 20TH ST, CHEYENNE, WY 82001-3859
(307) 633-7444
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-1560
(307) 996-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19485.0344
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121677500
—
WY
01
—
19485344
STATE LICENSE
WY
01
—
6145LC05M
SUBSTANCE CONTROL
WY
Enumeration date
11/23/2005
Last updated
11/15/2022
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