Individual
NATALIE LYNN POTRAMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
(712) 264-3500
(712) 264-3535
Mailing address
116 E 11TH ST, SUITE 101, SPENCER, IA 51301-4364
(712) 264-3500
(712) 264-3535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP000498
SD
363LF0000X
Family Nurse Practitioner
105928
MO
363LF0000X
Family Nurse Practitioner
Primary
A-091009
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750396404
—
IA
05
—
428765309
—
MO
Enumeration date
07/30/2006
Last updated
09/28/2011
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