Basic Information
| Provider Information | |||||||||
| NPI: | 1629730304 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COTTER | ||||||||
| FirstName: | ADELE | ||||||||
| MiddleName: | |||||||||
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| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 ABBEY CT | ||||||||
| Address2: | |||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945584276 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072997503 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2751 NAPA VALLEY CORPORATE DR | ||||||||
| Address2: | |||||||||
| City: | NAPA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945586216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7072534279 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2021 | ||||||||
| LastUpdateDate: | 10/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WG0000X | 333524 | CA | Y | Nursing Service Providers | Registered Nurse | General Practice |
No ID Information.