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
Phone: (928) 256-4110
Fax: (928) 722-6113
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R28493 | North Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 247215 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R28492 | North Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 247215 | Arizona |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063696425 | NPPES |
Arizona | Other | 247215 | CERTIFIED NURSE PRACTITIONER LICENSE |
Arizona | MEDICAID | 19956 | CERTIFIED NURSE PRACTITIONER LICENSE |
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