MEDICARE: COURTNEY COLE DNP, APRN, WHNP-BC

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	363LW0102X	Women's Health Nurse Practitioner	104755607	MO

General Provider Information

NPI Number	:	1780446559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY COLE DNP, APRN, WHNP-BC

Provider Business Mailing Address
First Line	:	17017 FALSTONE MILL CT
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63040-1181
Country	:	US
Telephone Number	:	314-724-1184
Fax Number	:

Provider Business Practice Location Address
First Line	:	17017 FALSTONE MILL CT
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63040-1181
Country	:	US
Telephone Number	:	314-724-1184
Fax Number	:

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

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	01/26/2024

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