Individual
MRS. TERESA KOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11848 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4425
(757) 591-2260
Mailing address
2212 SOUVERAIN LN, VIRGINIA BEACH, VA 23454-7407
(757) 481-1481
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024035404
VA
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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