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Individual
NANCY A POTTER
Active
Individual
NANCY A POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13-31114-112
KS
363L00000X
Nurse Practitioner
74448
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662140
FIRSTGUARD
KS
Enumeration date
08/31/2006
Last updated
07/09/2007
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