Individual
SUSAN ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9198
(215) 243-4649
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-9198
(215) 243-4649
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP018107
PA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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