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NPI Code Detail

MEDICARE: MISS MARY LOUISE COLE RN

MEDICARE: MISS MARY LOUISE COLE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse433970-1NY

General Provider Information

NPI Number : 1114178506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MARY LOUISE COLE RN
Provider Business Mailing Address
First Line : 66 SAINT JOHNS DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-2013
Country : US
Telephone Number : 585-720-1749
Fax Number :
Provider Business Practice Location Address
First Line : 66 SAINT JOHNS DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-2013
Country : US
Telephone Number : 585-720-1749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2008
Last Update Date : 10/04/2008

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Directions to “ MISS MARY LOUISE COLE RN” Practice Location

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