Individual
CHRISTA POAG POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
626 ALGERITA DR, GEORGETOWN, TX 78628-2504
(512) 635-5163
Mailing address
626 ALGERITA DR, GEORGETOWN, TX 78628-2504
(512) 635-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
892889
TX
363LF0000X
Family Nurse Practitioner
Primary
1046716
TX
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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