Provider Demographics
NPI:1366454290
Name:COOK-PALMER, ALEAN I (MD)
Entity Type:Individual
Prefix:
First Name:ALEAN
Middle Name:I
Last Name:COOK-PALMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEAN
Other - Middle Name:I
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8428
Mailing Address - Country:US
Mailing Address - Phone:540-368-3700
Mailing Address - Fax:
Practice Address - Street 1:1201 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8428
Practice Address - Country:US
Practice Address - Phone:540-368-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI497455-05Medicaid
HI00C0220479OtherHMSA BILLING NUMBER
HIH15024Medicare UPIN
HIBH837ZMedicare PIN