Individual
DEBORAH COTTERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
15551 ELKHEAD RD, OAKLAND, OR 97462-9629
(720) 289-0774
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
202001787RN
OR
163WP2201X
Ambulatory Care Registered Nurse
Primary
202001787RN
OR
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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