Individual
TAYLOR COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Mailing address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004635A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30099326
—
IN
Enumeration date
11/13/2024
Last updated
03/26/2025
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