Healthcare Provider Details

I. General information

NPI: 1467453704
Provider Name (Legal Business Name): KATHLEEN PATRICIA COTTEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 RIVER RIDGE DR MINUTECLINIC
ASHEVILLE NC
28803-1299
US

IV. Provider business mailing address

148 NEW HAW CREEK RD
ASHEVILLE NC
28805-1829
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-6350
  • Fax:
Mailing address:
  • Phone: 828-299-1290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number114141
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number66823
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: