Provider Demographics
NPI:1568421634
Name:COTTON, RASHEDA A (RN)
Entity Type:Individual
Prefix:MS
First Name:RASHEDA
Middle Name:A
Last Name:COTTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 N 55TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2810
Mailing Address - Country:US
Mailing Address - Phone:414-499-6589
Mailing Address - Fax:414-449-9658
Practice Address - Street 1:3520 N 55TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2810
Practice Address - Country:US
Practice Address - Phone:414-499-6589
Practice Address - Fax:414-449-9658
Is Sole Proprietor?:No
Enumeration Date:2006-03-18
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12217-33363LF0000X
WI0143622-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38269100Medicaid