Provider Demographics
NPI:1972853869
Name:COOKEY, AMBER BETH (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:BETH
Last Name:COOKEY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 28216
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09173-8216
Mailing Address - Country:US
Mailing Address - Phone:0114-994-7283
Mailing Address - Fax:
Practice Address - Street 1:GEB 51 TRUPPENUBUNGSPLATZ
Practice Address - Street 2:
Practice Address - City:HOHENFELS
Practice Address - State:BAVARIA
Practice Address - Zip Code:92366
Practice Address - Country:DE
Practice Address - Phone:0114-994-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012344363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics