Individual provider · Type 1 NPI

Ty Alan Cottle, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Rigby, ID

NPI number 1871304238 Active

Practice location

711 Rigby Lake Dr Ste 600
Rigby, ID 83442-5372

Fax (208) 216-0228

Mailing address

PO Box 321
Lewisville, ID 83431-0321

Other practice locations

  • 2081 Roza Dr, Zillah, WA 98953-9361 · (208) 973-9413

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1471648 (ID)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1871304238

Ty Alan Cottle, PMHNP-BC's National Provider Identifier is 1871304238, issued on Jan 15, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rigby, ID. The record was last updated on Mar 18, 2026.