Provider Demographics
NPI:1265008304
Name:COTE, EMILY RUTH (ACNP-AG)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RUTH
Last Name:COTE
Suffix:
Gender:F
Credentials:ACNP-AG
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:RUTH
Other - Last Name:JOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ACNP-AG
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5286
Practice Address - Fax:401-444-7020
Is Sole Proprietor?:No
Enumeration Date:2021-05-30
Last Update Date:2025-01-30
Deactivation Date:2021-08-08
Deactivation Code:
Reactivation Date:2021-09-02
Provider Licenses
StateLicense IDTaxonomies
RIAPRN03974363L00000X
MARN2354785363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner