Individual
MISS ANGEL MARIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
1009 NOVUS DR STE 2, JOHNSON CITY, TN 37604-8237
(423) 283-0776
(423) 283-0549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024169833
VA
367500000X
Certified Registered Nurse Anesthetist
0001237483
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN17613
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532691
—
TN
Enumeration date
02/07/2012
Last updated
07/27/2021
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