Individual
DONNA M POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
(508) 790-1897
Mailing address
100 CAMP ST, HYANNIS, MA 02601-3063
(508) 775-1984
(508) 790-1897
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
176514
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP4243
BCBS
MA
Enumeration date
02/23/2006
Last updated
04/27/2021
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