Individual
KATHERINE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 ALLIUM DR, HOLT, MI 48842-8769
(989) 213-2876
Mailing address
3611 ALLIUM DR, HOLT, MI 48842-8769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704290488
MI
364S00000X
Clinical Nurse Specialist
Primary
4704290488
MI
Other
Enumeration date
04/18/2023
Last updated
04/25/2026
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