Individual
ANNA COTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 N BROADWAY AVE, OKLAHOMA CITY, OK 73103-3446
(405) 528-1936
Mailing address
3428 NW 19TH ST, OKLAHOMA CITY, OK 73107-3830
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
89573
OK
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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