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Individual

MRS. CHRISTINE A COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-093656
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205880291
TRICARE
01
51103834
BCBS
AL
Enumeration date
03/05/2010
Last updated
03/11/2019
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