Provider Demographics
NPI:1255755864
Name:COTTON, AMBER (ARNP)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:COTTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 N KROME AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-6040
Mailing Address - Country:US
Mailing Address - Phone:786-272-2377
Mailing Address - Fax:786-876-4877
Practice Address - Street 1:447 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6040
Practice Address - Country:US
Practice Address - Phone:786-272-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9266806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL363LF0000XMedicaid
FL363LF0000XMedicare PIN
FL363LF0000XMedicare UPIN
FL363LF0000XMedicare Oscar/Certification