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NPI Code Detail

MEDICARE: DEBRA MARIE COLE NP

MEDICARE: DEBRA MARIE COLE NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner393031CA

General Provider Information

NPI Number : 1891172763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA MARIE COLE NP
Provider Business Mailing Address
First Line : 2835 HIGHLAND AVE STE C
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7406
Country : US
Telephone Number : 619-477-4451
Fax Number : 619-474-4008
Provider Business Practice Location Address
First Line : 2743 HIGHLAND AVE
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7410
Country : US
Telephone Number : 619-474-2284
Fax Number : 619-474-3919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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