Provider Demographics
NPI:1649340738
Name:COLE, KARA LEA (APN FNP)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LEA
Last Name:COLE
Suffix:
Gender:F
Credentials:APN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-5198
Mailing Address - Country:US
Mailing Address - Phone:775-782-1610
Mailing Address - Fax:775-782-2310
Practice Address - Street 1:897 IRONWOOD DR
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-5198
Practice Address - Country:US
Practice Address - Phone:775-782-1610
Practice Address - Fax:775-782-2310
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN25750163W00000X
NVAPN000693363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503666Medicaid
NV100503666Medicaid
NVFV572YMedicare Oscar/Certification
P90042Medicare UPIN
NVFV572ZMedicare Oscar/Certification