Individual
MS. MARY KATHERINE COTHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 OAK LN, WEST POINT, VA 23181-9300
(804) 513-0040
Mailing address
2400 OAK LN, WEST POINT, VA 23181-9300
(804) 513-0040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001273728
VA
163WA2000X
Administrator Registered Nurse
Primary
0001273728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001273728
REGISTERED NURSE
VA
Enumeration date
05/04/2020
Last updated
05/04/2020
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