MEDICARE: COLE ATKINSON 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
1	363LF0000X	Family Nurse Practitioner	841127	TX
2	363LF0000X	Family Nurse Practitioner	AP140684	TX

General Provider Information

NPI Number	:	1891254819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLE ATKINSON NP

Provider Business Mailing Address
First Line	:	409 COUNTY ROAD 563
Second Line	:
City	:	KIRBYVILLE
State	:	TX
Zip	:	75956-2236
Country	:	US
Telephone Number	:	409-423-0367
Fax Number	:

Provider Business Practice Location Address
First Line	:	3251 I H 45 N STE 100
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2185
Country	:	US
Telephone Number	:	936-414-9000
Fax Number	:	936-494-4431

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

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	08/09/2022

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Directions to “ COLE ATKINSON NP” Practice Location

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