Provider Demographics
NPI:1992481543
Name:COOK, CORINN RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:CORINN
Middle Name:RENEE
Last Name:COOK
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 N COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2299
Mailing Address - Country:US
Mailing Address - Phone:402-643-4800
Mailing Address - Fax:402-646-4635
Practice Address - Street 1:119 S C ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NE
Practice Address - Zip Code:68405-1802
Practice Address - Country:US
Practice Address - Phone:402-761-3307
Practice Address - Fax:402-761-3493
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2025-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE3220363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant