Individual
ELIZABETH POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1412 KY-7, WEST LIBERTY, KY 41472
(606) 743-1600
(606) 743-2220
Mailing address
842 HUTCHINSON RD, WEST LIBERTY, KY 41472-2032
(606) 743-1600
(606) 743-2220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003285
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3003285
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338753
BLUE CROSS BLUE SHIELD
KY
01
—
201287473001
CHAMPUS
KY
05
—
78004843
—
KY
Enumeration date
01/04/2007
Last updated
01/27/2025
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