Doctor Name: | DENISE COLE |
NPI Number: | 1053787200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, PNP |
License Number: | 706526 |
Business Practice Address: | 4305 Windsor Centre Trl Flower Mound, TX - 750281864 |
Business Phone Number: | 9723557900 |
Business Fax Number: | |
Mailing Address: | 3028 Dunverny, THE COLONY |
State: | TX |
Postal Code: | 750566449 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 706526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |