STEPHANIE MARIE POTERACK

PHOENIX, AZ
NPI1407225733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP8364)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AZ  144449)
Enumeration Date2015-09-16
Last Update Date2023-04-06
Business Address
STEPHANIE MARIE POTERACK FNP
1230 W CAVEDALE DR
PHOENIX, AZ 85085-6367
Phone number: 602-301-1973
Mailing Address
STEPHANIE MARIE POTERACK FNP
1230 W CAVEDALE DR
PHOENIX, AZ 85085-6367
Phone number: 602-301-1973