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Contact Information

SANDRA L COTTLE IV, CNM
830 PENNSYLVANIA AVE STE 304
CHARLESTON, WV25302-3390
 Phone: 304-388-1515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for SANDRA L COTTLE IV · (Female)

NPI Number 1427051549
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 05/23/2005
Last updated 02/05/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • WV License # APRN39137
  • WV Medicaid 0160043000
  • WV Medicaid 1160043000
  • WV Medicaid 1427051549
  • WV Other 000107768 MS BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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