Miss Gina Marie Cook, FNP-BC | |
601 W Riverside Dr Ste 4, Parker, AZ 85344-5119 | |
(928) 256-4110 | |
(928) 722-6113 |
Full Name | Miss Gina Marie Cook |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 601 W Riverside Dr Ste 4, Parker, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063696425 | NPI | - | NPPES |
247215 | Other | AZ | CERTIFIED NURSE PRACTITIONER LICENSE |
19956 | Medicaid | ND |
Entity Name | Psj Acquisition Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679709802 PECOS PAC ID: 7012062235 Enrollment ID: O20090918000240 |
Mailing Address | Practice Location Address |
---|---|
Miss Gina Marie Cook, FNP-BC Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Miss Gina Marie Cook, FNP-BC 601 W Riverside Dr Ste 4, Parker, AZ 85344-5119 Ph: (928) 256-4110 |
Melissa Rascon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-7380 | |
Donald Francis Walpole, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W Mohave Rd, Parker, AZ 85344 Phone: 928-669-9201 | |
Mary Ann Widman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-9104 | |
Darryl Horton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-3353 Fax: 928-669-3131 | |
Kelly Anne Cricks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-2137 Fax: 928-669-3131 | |
Dr. Kathy Karen Kladar, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1306 South California Avenue, Parker, AZ 85344 Phone: 928-575-7552 Fax: 888-355-4604 |