Individual
AMANDA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11120 NE 33RD PL # 202, BELLEVUE, WA 98004-1444
(509) 310-9307
Mailing address
PO BOX 554, CARSON, WA 98610-0554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200242423RN
OR
163W00000X
Registered Nurse
RN00168093
WA
363LF0000X
Family Nurse Practitioner
202003287NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
N362070964
WA
Other
Enumeration date
07/29/2014
Last updated
07/27/2020
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