Individual
AMANDA M COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1326 E PERKINS AVE, SANDUSKY, OH 44870-5025
(419) 625-0654
(419) 621-1276
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP09208
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP09208
OHIO LICENSE
OH
01
—
RN209305
OHIO RN LICENSE
OH
Enumeration date
12/19/2006
Last updated
09/20/2018
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