Individual provider · Type 1 NPI
Samuel J. Cork, AGPCNP
Gerontology Nurse Practitioner · Mather, CA
NPI number
1205514940
Active
Practice location
10535 Hospital Way
Mather, CA 95655-4200
Mailing address
2 Koret Way
San Francisco, CA 94143-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95025931 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1205514940
Samuel J. Cork, AGPCNP's National Provider Identifier is 1205514940, issued on Jul 11, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Mather, CA. The record was last updated on Jul 11, 2023.