Provider Demographics
NPI:1265810048
Name:COTTER, DAWN (RN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:COTTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1206
Mailing Address - Country:US
Mailing Address - Phone:415-987-2144
Mailing Address - Fax:415-558-4236
Practice Address - Street 1:815 BUENA VISTA AVE W
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-4108
Practice Address - Country:US
Practice Address - Phone:415-967-7311
Practice Address - Fax:415-558-4236
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX795545163W00000X
CA95133315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse