Healthcare Provider Details

I. General information

NPI: 1174469837
Provider Name (Legal Business Name): ALISON PAIGE COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALISON P HALBERT

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 E MAIN ST
HULBERT OK
74441-8902
US

IV. Provider business mailing address

5543 S HIGHWAY 82
PEGGS OK
74452-2115
US

V. Phone/Fax

Practice location:
  • Phone: 918-772-2879
  • Fax: 918-772-1233
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number231227
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR0130459
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: