Individual
MICAH GABRIELLE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 279-2059
Mailing address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R108119
AR
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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