Individual
DIANA L COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNOR, CRNFA
Contact information
Practice address
1303 W EVERGREEN AVE, EFFINGHAM, IL 62401-1619
(217) 342-3400
(217) 342-6416
Mailing address
311 S PINE ST, VANDALIA, IL 62471-2629
(618) 283-2350
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041259164
IL
163WM0705X
Medical-Surgical Registered Nurse
Primary
041259164
IL
Other
Enumeration date
05/31/2006
Last updated
08/27/2018
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