Provider Demographics
NPI:1205852282
Name:DAVIS-COLE, ANDREW CF (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANDREW
Middle Name:CF
Last Name:DAVIS-COLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:1226 LINN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SIKESTON
Mailing Address - State:MO
Mailing Address - Zip Code:63801-5200
Mailing Address - Country:US
Mailing Address - Phone:573-481-0700
Mailing Address - Fax:573-481-0787
Practice Address - Street 1:2865 JAMES BLVD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2803
Practice Address - Country:US
Practice Address - Phone:573-776-1100
Practice Address - Fax:573-776-1107
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNUPN-5959163W00000X
TNRN000066878163W00000X
MO2001002272363LF0000X
TNAPN0000005959363LF0000X
MO2019034475363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q49383Medicare UPIN