Provider Demographics
NPI:1700920642
Name:COTTON, THERESA K (APN)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:K
Last Name:COTTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 SPRUCE ST
Mailing Address - Street 2:CHOP NEWBORN CARE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-6130
Mailing Address - Country:US
Mailing Address - Phone:215-829-3301
Mailing Address - Fax:215-829-7211
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:CHOP NEWBORN CARE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:215-829-3301
Practice Address - Fax:215-829-7211
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAUP001938D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics