Provider Demographics
NPI:1609405604
Name:COLE, LARONDA D (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LARONDA
Middle Name:D
Last Name:COLE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 CLEVELAND STREET, SUITE 600
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1788
Mailing Address - Country:US
Mailing Address - Phone:757-963-6507
Mailing Address - Fax:757-963-6375
Practice Address - Street 1:5701 CLEVELAND STREET, SUITE 600
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1788
Practice Address - Country:US
Practice Address - Phone:757-963-6507
Practice Address - Fax:757-963-6375
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001187366163W00000X
VA0024179145363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner