MRS. LISA MICHELE COTTRILL NURSE PRACTITIONER C NPI 1013947894

NPI Information

  • NPI: 1013947894
  • Provider Name: MRS. LISA MICHELE COTTRILL, NURSE PRACTITIONER C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 921 MINERAL RD
    STE 101
    GLENVILLE, WV
    ZIP 26351
  • Phone: (304) 364-1093

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NPI Details

MRS. Lisa Michele Cottrill, NURSE PRACTITIONER C is a family nurse practitioner in Glenville, WV with 25 years of experience. MRS. Lisa Michele Cottrill, NURSE PRACTITIONER C NPI is 1013947894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

921 MINERAL RD
STE 101
GLENVILLE, WV
ZIP 26351-342
Phone: (304) 364-1093
Fax: (304) 364-1050

The NPI 1013947894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 3/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily33513WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P52631MEDICARE UPINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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