Individual
SUZANNE H POTVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2400 EASTPOINT PKWY, SUITE 550, LOUISVILLE, KY 40223-4154
(502) 253-6630
(502) 253-6639
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2123P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064753
RN LICENSE
KY
05
—
7100007420
—
KY
Enumeration date
09/13/2006
Last updated
01/26/2015
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