Individual provider · Type 1 NPI

Mattea Marie Cole, PA-C

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1417682048 Active

Practice location

750 Highland Ave
Madison, WI 53705-2221

Call (218) 340-6324 Map

Mailing address

13540 Grove Dr N
Maple Grove, MN 55311-4400

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417682048

Mattea Marie Cole, PA-C's National Provider Identifier is 1417682048, issued on Jul 18, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Nov 6, 2025.