Individual
TIFFANY N POTEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
(260) 222-7401
Mailing address
10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
(260) 222-7401
(260) 209-5956
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000424A
IN
367A00000X
Advanced Practice Midwife
Primary
71013563A
IN
367A00000X
Advanced Practice Midwife
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Other
Enumeration date
01/17/2023
Last updated
02/21/2023
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