Provider Demographics
NPI:1679242879
Name:COTTEN, WHITNEY BRIANNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:BRIANNE
Last Name:COTTEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:BRIANNE
Other - Last Name:NEVELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:7686 VINCENT RD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5655
Mailing Address - Country:US
Mailing Address - Phone:225-665-8198
Mailing Address - Fax:225-665-9713
Practice Address - Street 1:7686 VINCENT RD
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5655
Practice Address - Country:US
Practice Address - Phone:225-665-8198
Practice Address - Fax:225-665-9713
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA280011164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse