Provider Demographics
NPI:1437206448
Name:COTTLE, MARGARET MOORING (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MOORING
Last Name:COTTLE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 US HIGHWAY 70 W
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-7779
Practice Address - Country:US
Practice Address - Phone:919-739-4808
Practice Address - Fax:919-739-4810
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0050-02305363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC005002305OtherLICENSES
NCQ76063Medicare UPIN