Individual
BRITTANY COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 PASTEUR DRIVE, STANFORD, CA 94305-2200
(650) 725-3798
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(650) 725-3798
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95012064
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95012064
CA
363LA2100X
Acute Care Nurse Practitioner
AP127647
TX
363LG0600X
Gerontology Nurse Practitioner
95012064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350900201
—
TX
05
—
350900202
—
TX
01
—
8710NQ
BLUE CROSS BLUE SHIELD
TX
01
—
8735NY
BCBS
TX
Enumeration date
04/16/2015
Last updated
06/29/2023
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