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Jennifer Patrice Cotterman, LPN

Licensed Practical Nurse in Walworth, NY. Individual provider (NPI-1).

NPI number1669969606
StatusActive
Last updated in NPPESApr 16, 2018

Details

NPI
1669969606
Entity type
Individual (NPI-1)
Name
Jennifer Patrice Cotterman
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2018
Last updated
Apr 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse269887NYYes

Practice location

3270 Wildflower Dr
Walworth, NY 14568-9404

Phone 585-730-1266

Mailing address

3270 Wildflower Dr
Walworth, NY 14568-9404

Phone 585-730-1266

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Other Licensed Practical Nurse providers in Walworth, NY

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