Provider Demographics
NPI:1427510155
Name:COLE, ROWENA (NP MSN)
Entity type:Individual
Prefix:
First Name:ROWENA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:NP MSN
Other - Prefix:
Other - First Name:ROWENA
Other - Middle Name:
Other - Last Name:SORIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:562-622-2800
Mailing Address - Fax:714-741-4479
Practice Address - Street 1:12900 PARK PLAZA DR STE 150
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-9329
Practice Address - Country:US
Practice Address - Phone:562-622-2800
Practice Address - Fax:562-741-4479
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2011730363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology