Individual
MS. EMILY P OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7581
Mailing address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632238
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95007121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269329
—
CA
Enumeration date
04/19/2017
Last updated
10/22/2017
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