Healthcare Provider Details

I. General information

NPI: 1235511353
Provider Name (Legal Business Name): VALERIE E COLE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4044 ROUTE 130 STE 240
IRWIN PA
15642-7808
US

IV. Provider business mailing address

4044 ROUTE 130
IRWIN PA
15642-7808
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-2500
  • Fax: 724-744-3338
Mailing address:
  • Phone: 724-527-6651
  • Fax: 724-527-0957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015041
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: