Doctor Name: | WENDY COLE |
NPI Number: | 1225296551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | 597056 |
Business Practice Address: | 4102 Pinion Dr. 10 Mdg Usaf Academy, CO - 808402502 |
Business Phone Number: | 7193335177 |
Business Fax Number: | |
Mailing Address: | 4102 Pinion Dr. 10 Mdg, USAF ACADEMY |
State: | CO |
Postal Code: | 808402502 |
Phone Number: | 7193335177 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2008 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 597056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |