Heather Cook, RN
Individual provider Active NPI Registered Nurse · Riverton, WY
NPI 1346520384 · NPPES record last updated Aug 22, 2011
Key facts
- NPI
- 1346520384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 27194 (WY)
- Practice address
- 1539 17 Mile Rd
Riverton, WY 82501-9101 - Phone
- (307) 851-6424
- NPI assigned
- Aug 22, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27194 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 27194 | WY | Yes |
Addresses
Primary practice location
1539 17 Mile Rd
Riverton, WY 82501-9101
Mailing address
1539 17 Mile Rd
Riverton, WY 82501-9101
Phone (307) 851-6424
Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2011. 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.