MEDICARE: MRS. NANCY LOUISE COLE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP2201X	Ambulatory Care Registered Nurse	64628	CO

General Provider Information

NPI Number	:	1447572854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY LOUISE COLE RN

Provider Business Mailing Address
First Line	:	PO BOX 49
Second Line	:	COMPLEX B
City	:	TOWAOC
State	:	CO
Zip	:	81334-0049
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 RUSTLING WILLOW STREET
Second Line	:	COMPLEX B
City	:	TOWAOC
State	:	CO
Zip	:	81334-0049
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

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