Individual
KRISTI SUE COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1255 LAS TABLAS RD STE 201, TEMPLETON, CA 93465-9750
(805) 434-5530
(805) 434-0023
Mailing address
1400 E. CHURCH STREET, ATTENTION- MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3954
(805) 739-3060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009962
CA
363LF0000X
Family Nurse Practitioner
11529
TN
Other
Enumeration date
07/26/2006
Last updated
01/23/2020
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