Healthcare Provider Details

I. General information

NPI: 1457326704
Provider Name (Legal Business Name): LONNA KROUT-COLE F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 09/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7151 RICHMOND RD SUITE 405
WILLIAMSBURG VA
23188-7234
US

IV. Provider business mailing address

860 OMNI BLVD SUITE 303
NEWPORT NEWS VA
23606-4430
US

V. Phone/Fax

Practice location:
  • Phone: 757-564-3700
  • Fax: 757-564-8515
Mailing address:
  • Phone: 757-232-8777
  • Fax: 757-232-8866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001125434
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: