COTTRELL, NICOLE SHARP - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

COTTRELL, NICOLE SHARP

This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.

Practice Address:	INTEGRIS BREAST SURGERY 10900 HEFNER POINTE DRIVE OKLAHOMA CITY OK 73120 Address last updated on 6/3/2024
Phone #:	(405) 552-0400 x0
Fax #:	(405) 752-4251
County:	OKLAHOMA
License:	38365
Dated:	7/1/2021
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Surgical Oncology General Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated:	5 / 2009
CME Year:	2027

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Certifications:	AMERICAN BOARD OF SURGERY AMERICAN BOARD OF SURGERY (Surgery specific)
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health) Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CIGNA HMO CIGNA PPO Global Health HMO HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Oklahoma Health Network PPO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Cancer Institute (Memorial Rd OKC) Oklahoma City, OK INTEGRIS Edmond Edmond, OK Lakeside Women's Hospital Oklahoma City, OK

Locations:	Hours:	Languages:
INTEGRIS BREAST SURGERY 10900 HEFNER POINTE DRIVE OKLAHOMA CITY OK 73120 Phone #: (405) 552-0400 x0 Fax #: (405) 752-4251	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
MOUZIANE S. DEEB	PA	3118
SARAH MILLER	APRN	78821

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