Individual
SAMANTHA ARIEL POTTORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 533-3388
Mailing address
4601 PHEASANT COVE DR SE, OWENS CROSS ROADS, AL 35763-3017
(309) 738-9990
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-168543
AL
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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