Provider Demographics
NPI:1780377044
Name:COLE, SARAH E (RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
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 1:2345 CHESTERFIELD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304-1063
Mailing Address - Country:US
Mailing Address - Phone:304-343-2047
Mailing Address - Fax:304-343-2069
Practice Address - Street 1:2345 CHESTERFIELD AVE STE 201
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1063
Practice Address - Country:US
Practice Address - Phone:304-343-2047
Practice Address - Fax:304-343-2069
Is Sole Proprietor?:No
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV80040163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health