Potter, Sparkle Mahogany

Potter, Sparkle Mahogany is an individual health care provider with primary practice located at 77 Nealy Ave , Langley Afb VA 23665-2040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Potter, Sparkle Mahogany can be contacted via phone (757) 764-6015.

Contact Information

Primary practice address
77 Nealy Ave Langley Afb VA 23665-2040
Phone: (757) 764-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024182190 Virginia

Profile Details

NPI number 1033508213
LBN Legal business name Potter, Sparkle Mahogany
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2015
Last updated Mar 15th, 2023 - about 2 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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