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Individual

MRS. LISA ANNE POTTASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4BERKSHIRE BOULEVARD, ABILITY BEYOND DISABILITY, BETHEL, CT 06801
(203) 775-4700
(203) 775-8028
Mailing address
4BERKSHIRE BOULEVARD, ABILITY BEYOND DISABILITY, BETHEL, CT 06801
(203) 775-4700
(203) 775-8028

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
004652
CT
364SA2200X
Adult Health Clinical Nurse Specialist
F305500-1
NY

Other

Enumeration date
07/19/2011
Last updated
10/17/2011
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