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Individual
SHAKEETA M. COTTON
Active
Individual
SHAKEETA M. COTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28230480A
IN
163WG0600X
Gerontology Registered Nurse
71011743A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71011743A
IN
Other
Enumeration date
10/19/2021
Last updated
12/29/2021
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