Individual
MARY PAT COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
VIRGINIA EMERGENCY ASSOCIATES INC, 5801 BREMO ROAD, RICHMOND, VA 23226
(804) 287-7066
(804) 673-9531
Mailing address
14036 SHADY POINTE CT, MIDLOTHIAN, VA 23112-4185
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0024134188
VA
363L00000X
Nurse Practitioner
Primary
0024164188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024164188
VIRGINIA STATE LICENSE
VI
Enumeration date
10/16/2006
Last updated
10/01/2019
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