Pamela Cook, LPN
Individual provider Active NPI Licensed Practical Nurse · Corinth, VT
NPI 1043880206 · NPPES record last updated Jun 30, 2021
Key facts
- NPI
- 1043880206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0250065658 (VT)
- Practice address
- 837 S America Rd
Corinth, VT 05039-4429 - Phone
- (603) 348-4467
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0250065658 | VT | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0250065658 | VT | Yes |
Addresses
Primary practice location
837 S America Rd
Corinth, VT 05039-4429
Mailing address
837 S America Rd
Corinth, VT 05039-4429
Phone (603) 348-4467
Other providers in Corinth, VT
All providers in Corinth, VT · Licensed Practical Nurse in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.