Provider Demographics
NPI:1629646591
Name:COOK, SARAH ELIZABETH (DNP, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:COOK
Suffix:
Gender:F
Credentials:DNP, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 E 4500 S STE 220
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8524
Mailing Address - Country:US
Mailing Address - Phone:385-799-0533
Mailing Address - Fax:888-717-7578
Practice Address - Street 1:348 E 4500 S STE 220
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8524
Practice Address - Country:US
Practice Address - Phone:385-799-0533
Practice Address - Fax:888-717-7578
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7644046-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT7644046-8900OtherAPRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE
UT7644046-4405OtherSTATE APRN LICENSE