Provider Demographics
NPI:1477767085
Name:COTTER, ELIZABETH RAE (RNP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:RAE
Last Name:COTTER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 LAUREL RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4146
Mailing Address - Country:US
Mailing Address - Phone:401-267-0003
Mailing Address - Fax:
Practice Address - Street 1:1150 DOUGLAS PIKE
Practice Address - Street 2:BRYANT UNIVERITY
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-1291
Practice Address - Country:US
Practice Address - Phone:401-232-6220
Practice Address - Fax:401-232-6702
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP14205363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily