COLETECH LLC
Nurse Practitioner (Family)

Address: 328 W Kenton Ln., Phoenix, AZ 85023

COLETECH LLC (NPI# 1770170417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770170417
Entity Type Organization
Organization Name COLETECH LLC
Practice Address 328 W Kenton Ln.
Phoenix
AZ 85023
Practice Telephone 4805196285
Mailing Address 328 W Kenton Ln.
Phoenix
AZ 85023
Mailing Telephone 4805196285
Certification Date 2020-12-22
Enumeration Date 2020-12-29
Last Update Date 2020-12-29
Authorized Official Telephone 6025411611
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Cole testing Other Name

Office Location

Street Address 328 W KENTON LN.
City PHOENIX
State AZ
Zip Code 85023

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598357147 Jalisa Zinn 515 W Buckeye Rd Ste 304, Phoenix, AZ 85003-2693 2021-02-05
1518556042 Perla Eduwiges Puebla 1838 E Yale St, Phoenix, AZ 85006-1452 2021-01-11
1497343305 Josie Pirie 2739 W Bluefield Ave, Phoenix, AZ 85053-1142 2021-01-06
1417543117 Carlos Alberto Ching · Carlos Alberto Ching 1520 W Sunrise Dr, Phoenix, AZ 85041-9137 2020-12-16
1780288373 Andrea Marie Sanchez 4220 W Yucca St, Phoenix, AZ 85029-3849 2020-11-24
1164025920 Jamie Lynn Mainville 11113 W Turney Ave, Phoenix, AZ 85037-5319 2020-11-16
1043812142 Hope Elizabeth Pack 101 W Seminole Dr, Phoenix, AZ 85023-5277 2020-11-12
1407456783 Brenna Michelle Clements 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1417566043 Haila Albgal 20235 N Cave Creek Rd Ste 104-214, Phoenix, AZ 85024-4424 2020-07-29
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Competitor

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City PHOENIX
Zip Code 85023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.