Provider Demographics
NPI:1467453704
Name:COTTEN, KATHLEEN PATRICIA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:PATRICIA
Last Name:COTTEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 NEW HAW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1829
Mailing Address - Country:US
Mailing Address - Phone:828-299-1290
Mailing Address - Fax:
Practice Address - Street 1:11 RIVER RIDGE DR
Practice Address - Street 2:MINUTECLINIC
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1299
Practice Address - Country:US
Practice Address - Phone:828-298-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114141363LF0000X
NC66823363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC531356Medicare UPIN
NC8903081Medicare ID - Type Unspecified