Breanna Marie Cook, PA

NPI #1144628835 in St Louis Park, Minnesota

Provider Information

NPI Number: 1144628835
Entity Type: Individual
Name: Breanna Marie Cook, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 11, 2014
Last Updated: Sep 4, 2019

Practice Location

Address: 3850 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416
Phone: (952) 883-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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