Provider Demographics
NPI:1528893211
Name:COTTRELL, BROOKE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:
Last Name:COTTRELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8535 PIERRE MARQUES ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-2026
Mailing Address - Country:US
Mailing Address - Phone:865-773-2038
Mailing Address - Fax:
Practice Address - Street 1:8535 PIERRE MARQUES ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-2026
Practice Address - Country:US
Practice Address - Phone:865-773-2038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical