Provider Demographics
NPI:1669830840
Name:COOK, CHRISTINA ANN (CNP, FNP)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANN
Last Name:COOK
Suffix:
Gender:F
Credentials:CNP, FNP
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:SUMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 SMOKERISE DR. SUITE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281
Mailing Address - Country:US
Mailing Address - Phone:330-590-0847
Mailing Address - Fax:234-201-7644
Practice Address - Street 1:200 SMOKERISE DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281
Practice Address - Country:US
Practice Address - Phone:330-590-0847
Practice Address - Fax:234-201-7644
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.18365363LF0000X
OH18365NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health