Individual provider · Type 1 NPI
Breanne Renae Cook
Nurse Practitioner · Grand Rapids, MI
Practice location
4100 Lake Dr SE Ste 200
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704268787 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1023648912
Breanne Renae Cook's National Provider Identifier is 1023648912, issued on Jan 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 23, 2021.