Individual provider · Type 1 NPI
Maryellen M. Cotellese
Primary Care Nurse Practitioner · Christiansburg, VA
NPI number
1518080191
Active
Practice location
2900 Lamb Cir Ste 335
Christiansburg, VA 24073-6341
Fax (540) 633-1524
Mailing address
PO Box 1364
Radford, VA 24143-1364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 0024090106 (VA) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1518080191
Maryellen M. Cotellese's National Provider Identifier is 1518080191, issued on Apr 9, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Christiansburg, VA. The record was last updated on Jul 8, 2007.