Cook, Maureen Diane
Cook, Maureen Diane is an individual health care provider with primary practice located at 731 Main St Ste 122 , Monroe CT 06468-2872. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Cook, Maureen Diane can be contacted via phone (203) 261-7090.Contact Information
Primary practice address
731 Main St Ste 122
Monroe CT 06468-2872
Phone: (203) 261-7090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1486 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 001486 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 001486 | Connecticut |
Profile Details
| NPI number | 1083755300 |
|---|---|
| LBN Legal business name | Cook, Maureen Diane |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | May 7th, 2020 - about 6 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 | 1083755300 | NPPES |
| Connecticut | Other | 890000175 | MEDICARE FIRST COAST |
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