Provider Demographics
NPI:1427240290
Name:COOK, HEATHER L (APRN FNP)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:COOK
Suffix:
Gender:
Credentials:APRN FNP
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN FNP
Mailing Address - Street 1:257 BILTMORE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4120
Mailing Address - Country:US
Mailing Address - Phone:828-285-0622
Mailing Address - Fax:
Practice Address - Street 1:195 PAGE MILL RD STE 103
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2073
Practice Address - Country:US
Practice Address - Phone:888-731-8994
Practice Address - Fax:888-732-8119
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110619363L00000X, 363LF0000X
FLTPAN2790363LF0000X
NC5007631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47037660425Medicaid
NCNCN776AMedicare PIN
NE281560Medicare PIN