Individual
MRS. CHRISTINE A COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832
(217) 554-5000
Mailing address
1900 E MAIN ST, DANVILLE, IL 61832-5198
(217) 554-5000
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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