Doctor Name: | MS. ANDREA MARCOTTE |
NPI Number: | 1770685802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NPP |
License Number: | NPP32093 |
Business Practice Address: | 36 Bridge Way Pascoag, RI - 028593131 |
Business Phone Number: | 4015687661 |
Business Fax Number: | 4015687949 |
Mailing Address: | 37 Morton Ave, JOHNSTON |
State: | RI |
Postal Code: | 029192076 |
Phone Number: | 4015687661 |
Fax Number: | 4015687949 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | NPP32093 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |