Individual
MRS. GINA ELIZABETH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN; FNP
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3346
Mailing address
7989 HIGHWAY 82A, TAHLEQUAH, OK 74464-8609
(918) 207-0075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R0042614
OK
367A00000X
Advanced Practice Midwife
Primary
R0042614
OK
Other
Enumeration date
07/18/2006
Last updated
08/01/2007
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