Healthcare Provider Details

I. General information

NPI: 1124955851
Provider Name (Legal Business Name): TIFFANI COTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 FIELDCREST RD
CAMBRIDGE MD
21613-9423
US

IV. Provider business mailing address

82 IRONMINE RD
FELTON DE
19943-2201
US

V. Phone/Fax

Practice location:
  • Phone: 410-346-1992
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011087
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC009017
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: