Provider Demographics
NPI:1700186368
Name:COOK, EMILY PAIGE (RN)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:PAIGE
Last Name:COOK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:PAIGE
Other - Last Name:COOK-UTAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4315 CABELL DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3634
Mailing Address - Country:US
Mailing Address - Phone:214-228-4581
Mailing Address - Fax:
Practice Address - Street 1:4315 CABELL DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3634
Practice Address - Country:US
Practice Address - Phone:214-228-4581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX655421163WX0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk