Breanne Renae Cook
NPI #1023648912 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1023648912
- Entity Type
- Individual
- Name
- Breanne Renae Cook
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 21, 2020
- Last Updated
- Feb 23, 2021
Practice Location
- Address
- 4100 LAKE DR SE STE 200
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8292
- Phone
- (616) 391-3759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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