NPI 1790010460 · live from the CMS NPI Registry
Mary Ann Cole
Nurse Practitioner, Obstetrics & Gynecology in Las Vegas, NV. National Provider Identifier 1790010460, active.
NPI record
| NPI | 1790010460 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 1707 W Charleston Blvd, #120, Las Vegas, NV 89102 |
| Practice phone | 702-671-5140 |
| Mailing address | Po Box 35380, Las Vegas, NV 89133 |
| Enumerated | October 13, 2009 |
| Last updated | July 10, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | APN #00449 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.