Individual
MRS. LISA MICHELE COTTRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER C
Contact information
Practice address
921 MINERAL RD, STE 101, GLENVILLE, WV 26351-1342
(304) 364-1093
(304) 364-1050
Mailing address
921 MINERAL RD, # 101, GLENVILLE, WV 26351-1342
(304) 364-1093
(304) 364-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33513
WV
Other
Enumeration date
07/04/2006
Last updated
03/16/2017
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