Cook, Breanna Marie

Cook, Breanna Marie is an individual health care provider with primary practice located at 3850 Park Nicollet Blvd , St Louis Park MN 55416. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Cook, Breanna Marie can be contacted via phone (952) 883-1000.

Contact Information

Primary practice address
3850 Park Nicollet Blvd St Louis Park MN 55416
Phone: (952) 883-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11763 Minnesota

Profile Details

NPI number 1144628835
LBN Legal business name Cook, Breanna Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2014
Last updated Sep 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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