Individual
ELIZABETH EVE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124-1236
(801) 266-3418
(801) 266-4174
Mailing address
PO BOX 741729, ATLANTA, GA 30374-1729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6997617-4405
UT
Other
Enumeration date
06/13/2019
Last updated
11/30/2020
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