Provider Demographics
NPI:1215922455
Name:COTE, DANIELLE ANN (CRNA)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ANN
Last Name:COTE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4756 CLOVER RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9214
Mailing Address - Country:US
Mailing Address - Phone:434-823-5660
Mailing Address - Fax:
Practice Address - Street 1:4756 CLOVER RIDGE CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-9214
Practice Address - Country:US
Practice Address - Phone:434-823-5660
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001178359163W00000X
VA0024165141363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAR29134Medicare UPIN
VA002812R02Medicare ID - Type Unspecified