Provider Demographics
NPI:1649032731
Name:COLE, ALAINA
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 TINA AVE STE 102AB
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-1581
Mailing Address - Country:US
Mailing Address - Phone:406-272-3746
Mailing Address - Fax:406-303-3308
Practice Address - Street 1:2875 TINA AVE STE 102AB
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-1581
Practice Address - Country:US
Practice Address - Phone:406-272-3746
Practice Address - Fax:406-303-3308
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-APRN-LIC-234525363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner