Provider Demographics
NPI:1447680251
Name:COOK, ASHLEY MEGAN (RN, BSN)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MEGAN
Last Name:COOK
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7711 NE 175TH ST # 106
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3567
Mailing Address - Country:US
Mailing Address - Phone:801-641-4783
Mailing Address - Fax:
Practice Address - Street 1:7711 NE 175TH ST # 106
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-3567
Practice Address - Country:US
Practice Address - Phone:801-641-4783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60405438163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool