IndividualActive
Sean Cook
NPI 1891310892 · Gerontology Nurse Practitioner · Caldwell, ID
Provider details
- NPI number
- 1891310892
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 64857 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
211 E Logan St
Caldwell, ID 83605-4882
Phone: (208) 963-1871
Approximate (ZIP-level) locationGet directions
Mailing address
1743 N Windsor Park Ct
Middleton, ID 83644-5672
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2025-09-11
- Certified
- 2020-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.