Potts, Erika Smith
Potts, Erika Smith is an individual health care provider with primary practice located at 912 W 21St St , Clovis NM 88101-4154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Potts, Erika Smith can be contacted via phone (575) 935-9000.Contact Information
Primary practice address
912 W 21St St
Clovis NM 88101-4154
Phone: (575) 935-9000
Fax: (575) 935-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R54735 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP01318 | New Mexico |
Profile Details
| NPI number | 1568634491 |
|---|---|
| LBN Legal business name | Potts, Erika Smith |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 11th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568634491 | NPPES |
| New Mexico | MEDICAID | 30528551 |
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