Individual
JENNY L COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(800) 880-3566
(801) 733-5872
Mailing address
3170 N 1350 W, PLEASANT VIEW, UT 84414-1375
(801) 698-9921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201022-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66787
HEALTHY U
UT
01
—
68295
PEHP
UT
Enumeration date
08/09/2006
Last updated
07/08/2007
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