Doctor Name: | MRS. BRANDI PARKER COTTON |
NPI Number: | 1033363601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 003940 |
Business Practice Address: | 160 Beechwood Ave Pawtucket, RI - 028605402 |
Business Phone Number: | 4017225573 |
Business Fax Number: | 4017265571 |
Mailing Address: | 160 Beechwood Ave, PAWTUCKET |
State: | RI |
Postal Code: | 028605402 |
Phone Number: | 4017225573 |
Fax Number: | 4017265571 |
NPI Enumeration Date: | 11/10/2008 |
NPI Last Update Date: | 05/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 003940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |