Healthcare Provider Details

I. General information

NPI: 1962338004
Provider Name (Legal Business Name): AUBREY COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37845 DALE DR APT 302
WESTLAND MI
48185-1097
US

IV. Provider business mailing address

37845 DALE DR APT 302
WESTLAND MI
48185-1097
US

V. Phone/Fax

Practice location:
  • Phone: 269-275-0360
  • Fax: 269-275-0360
Mailing address:
  • Phone: 269-275-0360
  • Fax: 269-275-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: