MEDICARE: DR. NANCY NELLE COTTEN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11288	MT
2	207Q00000X	Family Medicine Physician	34-010808	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568533677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY NELLE COTTEN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 637735
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7735
Country	:	US
Telephone Number	:	937-393-6101
Fax Number	:	937-393-6278

Provider Business Practice Location Address
First Line	:	1487 N HIGH ST
Second Line	:
City	:	HILLSBORO
State	:	OH
Zip	:	45133-8496
Country	:	US
Telephone Number	:	937-840-9150
Fax Number	:	937-840-0777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	01/29/2014

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Directions to “ DR. NANCY NELLE COTTEN D.O.” Practice Location

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