Provider Demographics
NPI:1861724841
Name:COOK, TROY FRANKLIN (RNFA, CNOR)
Entity type:Individual
Prefix:MR
First Name:TROY
Middle Name:FRANKLIN
Last Name:COOK
Suffix:
Gender:M
Credentials:RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21616 CALIFA ST
Mailing Address - Street 2:APT 312
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4961
Mailing Address - Country:US
Mailing Address - Phone:818-312-6249
Mailing Address - Fax:
Practice Address - Street 1:21616 CALIFA ST
Practice Address - Street 2:APT 312
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-4961
Practice Address - Country:US
Practice Address - Phone:818-312-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590473163WR0006X
FLRN 3242862163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant