Healthcare Provider Details

I. General information

NPI: 1942364831
Provider Name (Legal Business Name): BINTOU A COLE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5406 PARK MEADOW DR
MADISON WI
53704-8583
US

IV. Provider business mailing address

5406 PARK MEADOW DR
MADISON WI
53704-8583
US

V. Phone/Fax

Practice location:
  • Phone: 608-225-1915
  • Fax: 608-244-4561
Mailing address:
  • Phone: 608-225-1915
  • Fax: 608-244-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: