Provider Demographics
NPI:1447589049
Name:COOK, ELIZABETH (CNM, WHNP, BC, MSN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:CNM, WHNP, BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2294
Mailing Address - Fax:319-384-7346
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2294
Practice Address - Fax:319-384-7346
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF-115917363LW0102X
MO2014025553363LW0102X
IAB-115917367A00000X
MO2014025554367A00000X
IAB115917367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health