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Individual

MELINDA ANN COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 382-6611
Mailing address
PO BOX 62707, FORT MYERS, FL 33906-2707
(239) 931-3440

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025936
OH
363LF0000X
Family Nurse Practitioner
ARNP9334847
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009900700
FL
01
Y0K6Y
FLORIDA BLUE
FL
Enumeration date
12/02/2010
Last updated
03/04/2021
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