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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1083755300 NPPES
Connecticut Other 890000175 MEDICARE FIRST COAST

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