Individual
TARA POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WARFIELD RD, CHERRY HILL, NJ 08034-3318
(215) 872-9341
Mailing address
120 WARFIELD RD, CHERRY HILL, NJ 08034-3318
(215) 872-9341
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28NR18485100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00862400
NJ
Other
Enumeration date
08/24/2018
Last updated
08/23/2024
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