Most Relevant Information
Provider Data
| NPI Number: | 1003264060 |
| Provider Name: | SAMANTHA C COLE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN275754 |
Most Important Dates
| Enumeration Date: | 06/01/2016 |
| Last Updated: | 06/01/2016 |
Provider Practice Location
6005 SOM CENTER RD
WILLOUGHBY
OH
440949646
Practice Location Phone/Fax
| Phone: | 8663892727 |
| Fax: |
Provider Mailing Location
7226 CHILLICOTHE RD
MENTOR
OH
440607106
Provider Mailing Phone/Fax
| Phone: | 4405393250 |
| Fax: |