Amanda L Cook-Grooms
Amanda L Cook-Grooms is a Nurse Practitioner in Winchester, Ohio. Qualified in 2022, 4 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
244 Polley RdWinchester, OH 45697-9786
Phone: (937) 725-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence APRN.CNP.0033413 (OH) |
|---|
Record details
| NPI number | 1699475822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 7, 2023 |
| Last updated in NPPES | March 7, 2023 |
| Certification date | March 7, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Southeastern Physician Services Pc — 598 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |