MEDICARE: LONNA KROUT-COLE F.N.P.

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	363LF0000X	Family Nurse Practitioner	0001125434	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457326704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONNA KROUT-COLE F.N.P.

Provider Business Mailing Address
First Line	:	860 OMNI BLVD
Second Line	:	SUITE 303
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4430
Country	:	US
Telephone Number	:	757-232-8777
Fax Number	:	757-232-8866

Provider Business Practice Location Address
First Line	:	7151 RICHMOND RD
Second Line	:	SUITE 405
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-7234
Country	:	US
Telephone Number	:	757-564-3700
Fax Number	:	757-564-8515

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	09/07/2011

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