Individual
CHRISTIE ROSE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
397 UPPER DOTY BRANCH RD, HAPPY, KY 41746-8951
(303) 901-0526
Mailing address
PO BOX 1132, SENECA, IL 61360-1132
(303) 901-0526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010615
KY
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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