Individual
AMANDA L COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5005
Mailing address
105 WALL ST, POTEAU, OK 74953-4433
(918) 635-3566
(918) 635-3308
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
107639
OK
363LP2300X
Primary Care Nurse Practitioner
Primary
107639
OK
Other
Enumeration date
06/10/2018
Last updated
10/08/2019
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