Provider Demographics
NPI:1407583891
Name:COOK, HANNAH MAY (MSN)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MAY
Last Name:COOK
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 180TH ST
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:IA
Mailing Address - Zip Code:50645-9477
Mailing Address - Country:US
Mailing Address - Phone:319-541-1827
Mailing Address - Fax:
Practice Address - Street 1:1009 180TH ST
Practice Address - Street 2:
Practice Address - City:IONIA
Practice Address - State:IA
Practice Address - Zip Code:50645-9477
Practice Address - Country:US
Practice Address - Phone:319-541-1827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF168487363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health