Individual
MELISSA COTTEE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7544 MEDICAL DR, SUITE B, GLOUCESTER, VA 23061-4299
(804) 693-9037
(804) 693-9486
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170827
VA
Other
Enumeration date
05/01/2013
Last updated
03/04/2014
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