Individual
COURTNEY POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
Mailing address
179 HULL RD, WATERFORD, PA 16441-8879
(814) 403-8837
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
SP027209
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP027209
CRNP
PA
Enumeration date
03/02/2023
Last updated
05/23/2023
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