Healthcare Provider Details

I. General information

NPI: 1992149694
Provider Name (Legal Business Name): JANE LIZABETH COLE R.N., BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 US HIGHWAY 24
LEADVILLE CO
80461-3978
US

IV. Provider business mailing address

PO BOX 626
LEADVILLE CO
80461-0626
US

V. Phone/Fax

Practice location:
  • Phone: 719-486-2413
  • Fax: 719-486-4168
Mailing address:
  • Phone: 719-486-2413
  • Fax: 719-486-4168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number198680
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: