Abdul Cole

Individual provider Active NPI Licensed Practical Nurse · Washington, DC

NPI 1376385146 · NPPES record last updated Jun 11, 2024

Key facts

NPI
1376385146
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN1009058 (DC)
Practice address
7600 Georgia Ave NW
Washington, DC 20012-1616
Phone
(202) 723-3060
NPI assigned
Jun 11, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN1009058DCMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1009058 DC Yes

Addresses

Primary practice location

7600 Georgia Ave NW
Washington, DC 20012-1616

Mailing address

7600 Georgia Ave NW
Washington, DC 20012-1616
Phone (202) 723-3060

Other providers in Washington, DC

All providers in Washington, DC · Licensed Practical Nurse in District of Columbia

Sources for this page

Verify at the official NPI Registry.