Basic Information
Provider Information
NPI: 1821356486
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COTTON
FirstName: PATTON
MiddleName: B.
NamePrefix: MS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 7TH AVE S
Address2: HEMATOLOGY/ONCOLOGY DIVISION; ACC SUITE 651
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2059395448
FaxNumber: 2059751941
Practice Location
Address1: 1600 7TH AVE S
Address2: HEMATOLOGY/ONCOLOGY DIVISION; ACC SUITE 651
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2059395448
FaxNumber: 2059751941
Other Information
ProviderEnumerationDate: 05/01/2012
LastUpdateDate: 05/01/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0218X1-042021ALY Nursing Service ProvidersRegistered NursePediatric Oncology

No ID Information.


Home