Most Relevant Information
Provider Data
| NPI Number: | 1003409244 |
| Provider Name: | TONYA ALAE COOK RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R182700 |
Most Important Dates
| Enumeration Date: | 02/18/2021 |
| Last Updated: | 02/18/2021 |
Provider Practice Location
6200 FAIRDEL AVE
BALTIMORE
MD
212062443
Practice Location Phone/Fax
| Phone: | 4438543082 |
| Fax: |
Provider Mailing Location
6200 FAIRDEL AVE
BALTIMORE
MD
212062443
Provider Mailing Phone/Fax
| Phone: | 4438543082 |
| Fax: |