Provider Demographics
NPI:1821357831
Name:COTTLE, NADINE MEREDITH (RNFA)
Entity Type:Individual
Prefix:MISS
First Name:NADINE
Middle Name:MEREDITH
Last Name:COTTLE
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 MARESFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2066
Mailing Address - Country:US
Mailing Address - Phone:410-299-8499
Mailing Address - Fax:
Practice Address - Street 1:1305 MARESFIELD CT
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2066
Practice Address - Country:US
Practice Address - Phone:410-299-8499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09302400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant