Individual
MS. TIA B COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1580 VALENCIA ST STE 508, SAN FRANCISCO, CA 94110-4415
(415) 641-6996
Mailing address
1730 45TH AVE, SAN FRANCISCO, CA 94122-3908
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95007859
CA
367A00000X
Advanced Practice Midwife
Primary
235910
CA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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