Individual
LINDA ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
387 FANEUIL STREET, BRIGHTON, MA 02136
(617) 782-8623
Mailing address
387 FANEUIL STREET, BRIGHTON, MA 02136
(617) 782-8623
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
108292
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0709603
MASSHEALTH
MA
Enumeration date
04/23/2007
Last updated
07/08/2007
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