Basic Information
| Provider Information | |||||||||
| NPI: | 1144546060 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COTTON-ARMSTRONG | ||||||||
| FirstName: | CHANDRA | ||||||||
| MiddleName: | EMILY | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | SR. | ||||||||
| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5567 DORR ST | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436153630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5672778700 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2005 ASHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436201703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192553040 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2010 | ||||||||
| LastUpdateDate: | 04/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | PN091080 | OH | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.