Provider Demographics
NPI:1093265944
Name:COOKE, KARLI (APN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:
Last Name:COOKE
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9885 PALOMINO DR STE B530
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1016
Mailing Address - Country:US
Mailing Address - Phone:561-895-2558
Mailing Address - Fax:949-798-6804
Practice Address - Street 1:2615 S STATE ROAD 7
Practice Address - Street 2:STE B530
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-9370
Practice Address - Country:US
Practice Address - Phone:772-257-8224
Practice Address - Fax:772-213-3157
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9468286363LF0000X
IL209.014908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9468286OtherLICENSE