| Doctor Name: | ROXANNE J COOK |
| NPI Number: | 1457790966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN309728L |
| Business Practice Address: | 1183 Jacks Run Road North Versailles, PA - 15137 |
| Business Phone Number: | 4123466708 |
| Business Fax Number: | 4123466716 |
| Mailing Address: | 1183 Jacks Run Road, NORTH VERSAILLES |
| State: | PA |
| Postal Code: | 15137 |
| Phone Number: | 4123496708 |
| Fax Number: | 4123496716 |
| NPI Enumeration Date: | 06/18/2013 |
| NPI Last Update Date: | 06/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | RN309728L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |