Provider Demographics
NPI:1003199274
Name:COOK, SHIRLENE (MSHRM)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLENE
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:MSHRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4721 SE 29TH ST
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-5001
Mailing Address - Country:US
Mailing Address - Phone:405-601-4673
Mailing Address - Fax:
Practice Address - Street 1:4721 SE 29TH ST
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-5001
Practice Address - Country:US
Practice Address - Phone:405-601-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator