Provider Demographics
NPI:1316090525
Name:COTTEN, DORIS (MSN, APRN, BC)
Entity type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:COTTEN
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S ELM ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-1370
Mailing Address - Country:US
Mailing Address - Phone:336-389-1413
Mailing Address - Fax:336-389-1416
Practice Address - Street 1:620 S ELM ST
Practice Address - Street 2:SUITE 312
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1370
Practice Address - Country:US
Practice Address - Phone:336-389-1413
Practice Address - Fax:336-389-1416
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC056023163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6004011Medicaid