Provider Demographics
NPI:1235370016
Name:COOK, GRACE E (NP)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:E
Last Name:COOK
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:370 FAUNCE CORNER ROAD
Mailing Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02474-1274
Mailing Address - Country:US
Mailing Address - Phone:508-985-2000
Mailing Address - Fax:508-985-2001
Practice Address - Street 1:363 HIGHLAND AVENUE
Practice Address - Street 2:SOUTHCOAST PHYSICIAN SERVICES, INC.
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3703
Practice Address - Country:US
Practice Address - Phone:508-679-7888
Practice Address - Fax:518-679-7834
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2010-07-27
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Provider Licenses
StateLicense IDTaxonomies
RINPP37477363LX0001X
MARN192310363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology