Individual provider · Type 1 NPI

Angie Cook

Surgical Physician Assistant · Omaha, NE

NPI number 1912631052 Active

Practice location

8200 Dodge St
Omaha, NE 68114-4113

Fax (402) 955-7405

Mailing address

4309 N 139th Ave
Omaha, NE 68164-5027

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1912631052

Angie Cook's National Provider Identifier is 1912631052, issued on Jul 14, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Omaha, NE. The record was last updated on Jan 24, 2024.