Provider Demographics
NPI:1396708459
Name:COTTON, DONNA M (FNP)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:M
Last Name:COTTON
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-973-5000
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:489 STATE ST
Practice Address - Street 2:KAGAN 2, SURGICAL NAVIGATION
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-973-5456
Practice Address - Fax:207-973-4371
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP81505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432059799Medicaid
S74671Medicare UPIN
NP1658Medicare PIN