Provider Demographics
NPI:1184507287
Name:COOKE, LARRY SCOTT (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:SCOTT
Last Name:COOKE
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6013
Mailing Address - Country:US
Mailing Address - Phone:336-707-7798
Mailing Address - Fax:
Practice Address - Street 1:6161 LAKE BRANDT RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-8414
Practice Address - Country:US
Practice Address - Phone:336-643-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program