Individual
AUDREY GRACE POTTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15 BREWSTER ST, KINGSTON, NY 12401-5805
(845) 331-9698
Mailing address
15 BREWSTER ST, KINGSTON, NY 12401-5805
(845) 331-9698
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
419013-1
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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