Individual
LISA MARIE COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
500 LEON SULLIVAN WAY, CHARLESTON, WV 25301-1217
(304) 556-1195
Mailing address
8 HILLTOP VLG, P.O. BOX 31, MAIDSVILLE, WV 26541-8147
(304) 376-6523
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9906290
PA
Other
Enumeration date
11/03/2008
Last updated
11/16/2011
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