Individual
MRS. CYNTHIA NMI POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 W MORELAND BLVD, WAUKESHA, WI 53188-2462
(262) 896-8430
(262) 896-8387
Mailing address
7343 MAPLE TER, WAUWATOSA, WI 53213-3152
(414) 774-2611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75690-030
WI
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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