Provider Demographics
NPI:1003160953
Name:COLE, ANN L (RN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:L
Last Name:COLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 W 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-9466
Mailing Address - Country:US
Mailing Address - Phone:509-925-8434
Mailing Address - Fax:509-925-8407
Practice Address - Street 1:705 W 15TH AVE
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-9466
Practice Address - Country:US
Practice Address - Phone:509-925-8434
Practice Address - Fax:509-925-8407
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60020741163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool