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Individual

MILLIE COTTRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN251677L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001670958
HIGHMARK
PA
01
1277006
AETNA-HMO
PA
01
2346042000
INDEPENDENCE BLUE CROSS
PA
01
50059369
KEYSTONE HEALTH PLAN CENTRAL
PA
01
7488526
AETNA-NON HMO
PA
01
76998
GEISINGER
PA
Enumeration date
06/11/2006
Last updated
06/27/2013
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