Healthcare Provider Details

I. General information

NPI: 1659334886
Provider Name (Legal Business Name): PATRICIA ANN HORTON-COTHREN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 N ELM ST
HIGH POINT NC
27262-3918
US

IV. Provider business mailing address

1014 CODDLE CREEK RD
MOORESVILLE NC
28115-7789
US

V. Phone/Fax

Practice location:
  • Phone: 336-889-3646
  • Fax: 889-336-9993
Mailing address:
  • Phone: 704-663-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number73256
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number269
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: