Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL J CORK, AGPCNP
Active Sole ProprietorSAMUEL J CORK, AGPCNP is a Gerontological Nurse Practitioner healthcare provider located in MATHER, California. NPI 1205514940 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MATHER, CA
Registration Details
- NPI Number
- 1205514940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2023 (3.051420383668 yrs)
- Last Updated
- Jul 11, 2023
- License
-
95025931 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10535 HOSPITAL WAYMATHER, CA, 956554200Browse CA providers · Browse ZIP 95655
- Phone
- 9168437000
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.