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General NPI Number Information
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NPI Number | 1932374725
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Entity Type | Individual
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Provider Name | AUTUMN LEIGH COLE MSN, R.N. FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 855 MANKATO AVE
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City | WINONA
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State | MN
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Zip | 55987-4868
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Country | US
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Telephone | 507-454-3650
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Fax |
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Provider Business Mailing Address
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Address Line | 855 MANKATO AVE
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City | WINONA
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State | MN
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Zip | 55987-4868
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Country | US
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Telephone | 715-207-7164
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 150839-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4837-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 223185-1
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License Number State | MN
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