Individual
JENNY POTGIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2719
(701) 662-2131
Mailing address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2719
(701) 662-2131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R32412
ND
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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