Individual
BILLIE JO COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1012 UNION ST, BANGOR, ME 04401-3060
(207) 945-5247
(207) 990-1248
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 045-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN39349
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP121113
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP121113
LICENSE
ME
Enumeration date
09/24/2012
Last updated
05/17/2013
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