Individual
DANIELLE POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
135 S PENN AVE, HARRISVILLE, WV 26362-1371
(304) 643-4005
Mailing address
PO BOX 373, HARRISVILLE, WV 26362-0373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144484
—
OH
Enumeration date
09/14/2015
Last updated
10/22/2025
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