Provider Demographics
NPI:1982359196
Name:COTTON, MONICA GAIL (CRNP)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:GAIL
Last Name:COTTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 HAMPTON HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3731
Mailing Address - Country:US
Mailing Address - Phone:256-443-1522
Mailing Address - Fax:
Practice Address - Street 1:919 ODUM RD
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-3600
Practice Address - Country:US
Practice Address - Phone:205-631-6834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155596363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner