MRS. VIRGINIA MADELEINE COOK CRNP
NPI 1235693763
Nurse Practitioner - Family in Baltimore, MD
Active since January 29, 2019
About Mrs. Virginia Madeleine Cook Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. VIRGINIA MADELEINE COOK CRNP (NPI 1235693763) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R071445) and active in the NPI registry since January 2019.
NPPES Registry Identity
NPI1235693763
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. VIRGINIA MADELEINE COOKCredential: CRNP
Location Address6414 PRATT AVEBaltimore, MD 21212-1029
Mailing Address6414 Pratt AveBaltimore, MD 21212-1029 · (410) 218-1868
Phone(410) 218-1868
Sole ProprietorYes
Enumeration DateJanuary 29, 2019
✔ NPI 1235693763 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R071445
6414 PRATT AVE, Baltimore, MD 21212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235693763, enumerated as an "individual" on January 29, 2019.
The provider is located at 6414 PRATT AVE BALTIMORE, MD 21212 and the phone number is (410) 218-1868.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
