Mrs Kristine Cottrell, | |
2929 E Fillmore St, Phoenix, AZ 85008-6159 | |
(602) 683-2400 | |
Not Available |
Full Name | Mrs Kristine Cottrell |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 2929 E Fillmore St, Phoenix, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669708517 | NPI | - | NPPES |
86000485 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LP027730 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristine Cottrell, 2929 E Fillmore Street, Phoenix, AZ 85008 Ph: (602) 683-2400 | Mrs Kristine Cottrell, 2929 E Fillmore St, Phoenix, AZ 85008-6159 Ph: (602) 683-2400 |
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