Individual
THERESA COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10911 SANDSTONE RD, KNOXVILLE, TN 37931-2158
(865) 556-2289
Mailing address
10911 SANDSTONE RD, KNOXVILLE, TN 37931-2158
(865) 556-2289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000077742
TN
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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