Individual
STACEY COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
206 S MILL ST, ELDON, MO 65026-1864
(573) 392-1828
(573) 392-1864
Mailing address
1324 S AURORA ST, ELDON, MO 65026-1695
(573) 286-9105
(573) 392-1864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2011002444
MO
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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