Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Momo Cole, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578381778

Mr. Momo Cole, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3275 Stokley St
Philadelphia, PA 19129-1140
Phone: (215) 386-3838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP030740 (PA)

Record details

NPI number1578381778
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedSeptember 27, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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