Individual
MELODY ANN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 GLEN RD, INDORE, WV 25111-8047
(304) 619-8047
Mailing address
130 GLEN RD, INDORE, WV 25111-8047
(304) 619-8047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114353
WV
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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