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Individual

HALEY COTTINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022
Mailing address
11051 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-3354
(608) 884-5022

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245669
WI
363L00000X
Nurse Practitioner
Primary
11916-33
WI
363LF0000X
Family Nurse Practitioner
11916-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811458185
WI
Enumeration date
03/28/2019
Last updated
03/14/2023
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