STACEY COTTRELL LPN
NPI 1023419629
Licensed Practical Nurse in Eldon, MO

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 15, 2014

206 S MILL ST, ELDON, MO 65026(573) 392-1828(573) 392-1864 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Stacey Cottrell Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY COTTRELL LPN (NPI 1023419629) is an individual licensed practical nurse in Eldon, Missouri, licensed in Missouri (2011002444) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1023419629

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSTACEY COTTRELLCredential: LPN

Location Address206 S MILL STEldon, MO 65026-1864

Mailing Address1324 S Aurora StEldon, MO 65026-1695 · (573) 286-9105 · Fax (573) 392-1864

Phone(573) 392-1828

Fax(573) 392-1864

Sole ProprietorYes

Enumeration DateSeptember 15, 2014

✔ NPI 1023419629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 2011002444

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

206 S MILL ST, Eldon, MO 65026

Open in Google Maps ↗