Individual
CAROL POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
(616) 301-8000
Mailing address
1450 LEONARD ST NE, GRAND RAPIDS, MI 49505-5515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704160431
MI
Other
Enumeration date
10/26/2018
Last updated
04/06/2026
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