Individual
MICHELLE COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32 GRAHAM AVE, CORTLAND, NY 13045-2452
(607) 753-4811
Mailing address
PO BOX 395, TULLY, NY 13159-0395
(315) 741-5774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310135
NY
Other
Enumeration date
01/07/2021
Last updated
02/04/2021
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