Cooks, Willetta Audrey

Cooks, Willetta Audrey is an individual health care provider with primary practice located at 7777 E Freedom Rd , French Camp CA 95231-9694. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Cooks, Willetta Audrey can be contacted via phone (209) 946-4305.

Contact Information

Primary practice address
7777 E Freedom Rd French Camp CA 95231-9694
Phone: (209) 946-4305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 2243 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-45316-041 Kansas

Profile Details

NPI number 1922076439
LBN Legal business name Cooks, Willetta Audrey
Credentials BSN, MSN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 12th, 2009 - about 16 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 1922076439 NPPES
District of Columbia Other 0380913-01 ANCC
District of Columbia Other 2243 ANCC
District of Columbia Other 45316 ANCC

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