Potter, Patricia Ann
Potter, Patricia Ann is an individual health care provider with primary practice located at 107 Plaza Dr , Saint Clairsville OH 43950-8786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Potter, Patricia Ann can be contacted via phone (740) 695-2090.Contact Information
Primary practice address
107 Plaza Dr
Saint Clairsville OH 43950-8786
Phone: (740) 695-2090
Fax: (740) 695-6379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 05674 | Ohio |
Profile Details
| NPI number | 1487755831 |
|---|---|
| LBN Legal business name | Potter, Patricia Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Apr 9th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487755831 | NPPES |
| Ohio | MEDICAID | 2202388 | |
| Ohio | Other | 500010389 | |
| Ohio | MEDICAID | 9600162000 |
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