Healthcare Provider Details
I. General information
NPI: 1598302309
Provider Name (Legal Business Name): ELIZABETH COLE DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2019
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BLDG 700
VILSECK BAYERN
92249
DE
IV. Provider business mailing address
BLDG 701
VILSECK BAYERN
92249
DE
V. Phone/Fax
- Phone:
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | RN63648 |
| License Number State | ME |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | CNP191308 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: