MEDICARE: NOEL R COLE

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
1	376K00000X	Nurse's Aide	717693	CO

General Provider Information

NPI Number	:	1265708226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL R COLE

Provider Business Mailing Address
First Line	:	3116 WHEELING STREET
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-2023
Country	:	US
Telephone Number	:	406-690-1183
Fax Number	:

Provider Business Practice Location Address
First Line	:	3116 WHEELING ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-2023
Country	:	US
Telephone Number	:	406-690-1183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2012
Last Update Date	:	03/23/2012

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Directions to “ NOEL R COLE ” Practice Location

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