Provider Demographics
NPI:1508558743
Name:COTTEN, HUNTINGTON NANDALYN (HEALTH CARE STUDENT)
Entity Type:Individual
Prefix:MS
First Name:HUNTINGTON
Middle Name:NANDALYN
Last Name:COTTEN
Suffix:
Gender:F
Credentials:HEALTH CARE STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MUSC DIVISION OF OT 151-A RUTLEDGE AVE MSC 962
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MUSC DIVISION OF OT 151-A RUTLEDGE AVE MSC 962
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:803-509-3316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program