Individual
CONNOR JOSEPH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
204 CROSSCUT DR, DENVER, NC 28037-9236
(724) 859-2476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN692850
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
6798
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3608135
STUDENT ID NUMBER
—
Enumeration date
12/17/2019
Last updated
01/04/2022
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