Provider Demographics
NPI:1255098745
Name:COLE, RONEKE DENISE (NP)
Entity type:Individual
Prefix:
First Name:RONEKE
Middle Name:DENISE
Last Name:COLE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:555 BELAIRE AVE STE 2007
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4783
Mailing Address - Country:US
Mailing Address - Phone:757-288-3745
Mailing Address - Fax:757-992-8583
Practice Address - Street 1:555 BELAIRE AVE STE 2007
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4783
Practice Address - Country:US
Practice Address - Phone:757-550-1915
Practice Address - Fax:757-992-8583
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183426363LP0808X, 363LP0808X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program