Provider Demographics
NPI:1336571991
Name:COOK, MARJORIE (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 SW MARTIN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1217
Mailing Address - Country:US
Mailing Address - Phone:785-783-8438
Mailing Address - Fax:
Practice Address - Street 1:4101 SW MARTIN DR
Practice Address - Street 2:SUITE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66609-1217
Practice Address - Country:US
Practice Address - Phone:785-783-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-106403163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse