Individual
MRS. JANIS KAY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
515 N 162ND AVE, SUITE # 301, OMAHA, NE 68118-2539
(402) 354-7320
(402) 354-7325
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110595
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578758256
MEDICAID
IA
05
—
1578758256
—
IA
05
—
42068035512
—
NE
05
—
47037660425
—
NE
Enumeration date
09/06/2007
Last updated
12/17/2013
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