Cook, Gina Marie

Cook, Gina Marie is an individual health care provider with primary practice located at 601 W Riverside Dr Ste 4 , Parker AZ 85344-5119. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Cook, Gina Marie can be contacted via phone (928) 256-4110.

Contact Information

Primary practice address
601 W Riverside Dr Ste 4 Parker AZ 85344-5119
Fax: (928) 722-6113
Website:

Profile Details

NPI number 1063696425
LBN Legal business name Cook, Gina Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated Apr 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063696425 NPPES
Arizona Other 247215 CERTIFIED NURSE PRACTITIONER LICENSE
Arizona MEDICAID 19956 CERTIFIED NURSE PRACTITIONER LICENSE

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