Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | APRN.CNP.021608 | OH |
N | 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.021608 | OH |
NPI | 1336620293 |
---|---|
Provider Name | Margaret Prevetz Cook |
First Address | Pataskala, OH 43062-9772 |
Second Address | Columbus, OH 43201-1194 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2018 |
Last Update Date | 06/02/2019 |