Cole, Molly Deidre

Cole, Molly Deidre is an individual health care provider with primary practice located at 2300 E 6Th Ave , Flagstaff AZ 86004-4247. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Cole, Molly Deidre can be contacted via phone (928) 773-4082.

Contact Information

Primary practice address
2300 E 6Th Ave Flagstaff AZ 86004-4247
Phone: (928) 773-4082
Fax: (928) 773-4086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN137802 Arizona

Profile Details

NPI number 1073636205
LBN Legal business name Cole, Molly Deidre
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073636205 NPPES
Arizona MEDICAID 130600
Arizona Other RN137802

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