Potocki, Karen Diane

Potocki, Karen Diane is an individual health care provider with primary practice located at 1875 W Frye Rd Ste 300 , Chandler AZ 85224-6184. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Potocki, Karen Diane can be contacted via phone (480) 917-5600.

Contact Information

Primary practice address
1875 W Frye Rd Ste 300 Chandler AZ 85224-6184
Phone: (480) 917-5600
Fax: (602) 294-4497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X #209003804 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP11368 Arizona

Profile Details

NPI number 1326326539
LBN Legal business name Potocki, Karen Diane
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2011
Last updated Sep 21st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326326539 NPPES
Arizona MEDICAID 402187

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