Individual
CHARLISE E COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
218A SUNSET RD, WILLINGBORO, NJ 08046-1110
(609) 835-2901
Mailing address
PO BOX 95000-3170, PHILADELPHIA, PA 19195-0001
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN533356
PA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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