Provider Demographics
NPI:1780633040
Name:COOK, LOUISE A (CRNA)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:A
Last Name:COOK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:ZAMMERILLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:265 SCOTT HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:SUTERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15083-1349
Mailing Address - Country:US
Mailing Address - Phone:412-965-4215
Mailing Address - Fax:877-727-0185
Practice Address - Street 1:500 LEWIS RUN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15122-3056
Practice Address - Country:US
Practice Address - Phone:412-469-6964
Practice Address - Fax:412-469-6948
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN224379L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016860760002Medicaid
PA0016860760002Medicaid