Individual
KRISTINA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
774 GRAVOIS BLUFFS BLVD STE B, FENTON, MO 63026
(636) 685-7734
(314) 590-5922
Mailing address
774 GRAVOIS BLUFFS BLVD STE B, FENTON, MO 63026-7758
(636) 685-7734
(314) 590-5922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1014589
MO
Other
Enumeration date
11/14/2014
Last updated
05/15/2018
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