Provider Demographics
NPI:1669858320
Name:COTTEN, MANDY (APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:MANDY
Middle Name:
Last Name:COTTEN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 PARK SPRINGS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4729
Mailing Address - Country:US
Mailing Address - Phone:817-467-7474
Mailing Address - Fax:817-468-8643
Practice Address - Street 1:4224 PARK SPRINGS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4729
Practice Address - Country:US
Practice Address - Phone:817-467-7474
Practice Address - Fax:817-468-8643
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128702363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily