NPI | 1760848238 |
---|---|
Former Name | NICOLE ERIN POTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 183596) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 6071441) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK NURR35547) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 1171947) | |
Enumeration Date | 2016-01-13 |
Last Update Date | 2025-03-11 |