Provider Demographics
NPI:1255544094
Name:COOK, HEATHER MURRAY (NP-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MURRAY
Last Name:COOK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 KRISE CIR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2614
Mailing Address - Country:US
Mailing Address - Phone:434-455-0027
Mailing Address - Fax:
Practice Address - Street 1:102 ARCHWAY CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2889
Practice Address - Country:US
Practice Address - Phone:434-237-3664
Practice Address - Fax:434-237-3711
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily