Provider Demographics
NPI:1407607021
Name:JULIE L. COOK LLC
Entity Type:Organization
Organization Name:JULIE L. COOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, MSN, RN
Authorized Official - Phone:406-885-3651
Mailing Address - Street 1:1069 CREEKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8197
Mailing Address - Country:US
Mailing Address - Phone:406-885-3651
Mailing Address - Fax:
Practice Address - Street 1:14 2ND ST W STE 13
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-3035
Practice Address - Country:US
Practice Address - Phone:406-250-8633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care