Individual
NICOLE DANIELLE POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
404 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46204-2609
(317) 963-2610
(317) 963-2615
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28236152A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013600A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300072210
—
IN
Enumeration date
02/14/2023
Last updated
03/17/2025
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