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Individual

SHAWNTAI M COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2000
Mailing address
22010 W 64TH TER, SHAWNEE, KS 66226-3702

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
14-153793-081
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
2022000704
MO

Other

Enumeration date
09/15/2021
Last updated
02/03/2022
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