Individual ProviderMary Ellen CookNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4401 Penn Ave, 4th Floor Faculty Office Building / Urology, Pittsburgh, PA 15224-1334(412) 692-7969PECOS EnrollmentBased on the most recent information from CMS, provider Mary Ellen Cook does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1073887410Provider TypeIndividualFull NameCook, Mary EllenCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date3/2/2012Last Updated3/2/2012Contact InformationPractice LocationPractice Address4401 Penn Ave, 4th Floor Faculty Office Building / Urology, Pittsburgh, PA 15224-1334Phone(412) 692-7969Fax(412) 692-7939Mailing LocationMailing Address4401 Penn Ave, 4th Floor Faculty Office Building / Urology, Pittsburgh, PA 15224-1334Phone(412) 692-7969Fax(412) 692-7939Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseVP 004507BPennsylvania