Healthcare Provider Details

I. General information

NPI: 1679596274
Provider Name (Legal Business Name): DEBORAH E. COLE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CB 7470 JAMES A TAYLOR CAMPUS HEALTH UNIVERSITY OF NC
CHAPEL HILL NC
27599-7470
US

IV. Provider business mailing address

CB 7470 JAMES A TAYLOR CAMPUS HEALTH UNIVERSITY OF NC
CHAPEL HILL NC
27599-7470
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-6572
  • Fax: 919-966-0108
Mailing address:
  • Phone: 919-966-6572
  • Fax: 919-966-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number200230
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: