Provider Demographics
NPI:1225710833
Name:COOK, ANDREA PATREECE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PATREECE
Last Name:COOK
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12035 N SAGUARO BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-4647
Mailing Address - Country:US
Mailing Address - Phone:623-224-2415
Mailing Address - Fax:833-740-3717
Practice Address - Street 1:12035 N SAGUARO BLVD STE 204
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-4647
Practice Address - Country:US
Practice Address - Phone:623-224-2415
Practice Address - Fax:833-740-3717
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ295300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health