| Doctor Name: | MRS. MICHELLE REMY PHILLIPS-COTTRELL |
| NPI Number: | 1376979724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00457700 |
| Business Practice Address: | 3700 New Jersey Ave Wildwood, NJ - 082606154 |
| Business Phone Number: | 6094650258 |
| Business Fax Number: | 6095223484 |
| Mailing Address: | 53 S Laurel St, BRIDGETON |
| State: | NJ |
| Postal Code: | 083021946 |
| Phone Number: | 8564514700 |
| Fax Number: | 8567947183 |
| NPI Enumeration Date: | 09/17/2013 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00457700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |