Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | PN.161323-MEDS | OH |
NPI | 1407217557 |
---|---|
Provider Name | Elizabeth Cole |
First Address | Lancaster, OH 43130-1076 |
Second Address | Lancaster, OH 43130-1076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2016 |
Last Update Date | 17/03/2016 |