Individual
HANNAH FRAYNE EMANUEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 S EAGLE RD STE 3219, MERIDIAN, ID 83642-6356
(208) 381-8715
Mailing address
520 S EAGLE RD STE 3219, MERIDIAN, ID 83642-6356
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0199705
CO
163W00000X
Registered Nurse
50674
ID
163WE0003X
Emergency Registered Nurse
0199705
CO
363LF0000X
Family Nurse Practitioner
Primary
NP-1616A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199705
RN LICENSE
CO
01
—
N-50674
RN
ID
01
—
NP-1616A
NP
ID
Enumeration date
03/25/2015
Last updated
05/12/2026
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