Individual
MS. SANDRA L COTTLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
830 PENNSYLVANIA AVE STE 304, CHARLESTON, WV 25302-3390
(304) 388-1515
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
081
WV
367A00000X
Advanced Practice Midwife
Primary
APRN39137
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000107768
MS BCBS
WV
05
—
0160043000
—
WV
05
—
1160043000
—
WV
05
—
1427051549
—
WV
Enumeration date
05/23/2005
Last updated
02/05/2026
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