Sandra Marie Cook, RN

Individual provider Active NPI Emergency Registered Nurse · Albuquerque, NM

NPI 1295068708 · NPPES record last updated Sep 15, 2009

Key facts

NPI
1295068708
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Registered Nurse 163WE0003X
License
R49396 (NM)
Practice address
6215 Goldfield PL NE
Albuquerque, NM 87111-8208
Phone
(505) 508-2686
NPI assigned
Sep 15, 2009
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R49396NMMDEmergency Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X R49396 NM Yes

Addresses

Primary practice location

6215 Goldfield PL NE
Albuquerque, NM 87111-8208

Mailing address

6215 Goldfield PL NE
Albuquerque, NM 87111-8208
Phone (505) 508-2686

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Emergency Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.