Individual
MS. KAREN DIANE POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1875 W FRYE RD STE 300, CHANDLER, AZ 85224-6184
(480) 917-5600
(602) 294-4497
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(480) 917-5600
(602) 294-4499
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
#209003804
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402187
—
AZ
Enumeration date
07/22/2011
Last updated
09/21/2018
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