Individual
THERESE COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 341-3015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
331494
NY
363L00000X
Nurse Practitioner
Primary
F3314941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02392836
—
NY
Enumeration date
07/24/2006
Last updated
07/05/2023
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