Individual
NANCY A COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7597
(910) 815-5489
Mailing address
PO BOX 602172, CHARLOTTE, NC 28260-2172
(910) 343-7597
(910) 815-5489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG0000352
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558332395
—
DE
01
—
P00251630
RAILROAD MEDICARE
—
05
—
QNP138
—
SC
Enumeration date
01/30/2006
Last updated
03/22/2012
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