1346988979 NPI number — ALEXANDRA EILEEN COLE DNP, APRN, AGPCNP-BC

Table of content: ALEXANDRA EILEEN COLE DNP, APRN, AGPCNP-BC (NPI 1346988979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346988979 NPI number — ALEXANDRA EILEEN COLE DNP, APRN, AGPCNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLE
Provider First Name:
ALEXANDRA
Provider Middle Name:
EILEEN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, APRN, AGPCNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346988979
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
155 MAIN DUNSTABLE RD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHUA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03060-3640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-821-0056
Provider Business Mailing Address Fax Number:
603-417-5937

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 MAIN DUNSTABLE RD STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHUA
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03060-3640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-821-0056
Provider Business Practice Location Address Fax Number:
603-417-5937
Provider Enumeration Date:
05/24/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LG0600X , with the licence number:  083979-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: 083979-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP2300X , with the licence number: 083979-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)