Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | R224718 | MD |
NPI | 1073572491 |
---|---|
Provider Name | Valerie T Cotter |
First Address | Baltimore, MD 21236-4902 |
Second Address | Marlton, NJ 08053-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 09/05/2017 |