Individual
ENRIKA RAIN JOY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
388 US HIGHWAY 20 S, BASIN, WY 82410-8902
(307) 568-3311
Mailing address
388 US HIGHWAY 20 S, BASIN, WY 82410-8902
(307) 568-3311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R41548
ND
363LF0000X
Family Nurse Practitioner
Primary
49758
WY
363LF0000X
Family Nurse Practitioner
NUR-APRN-LIC-176126
MT
Other
Enumeration date
06/18/2021
Last updated
04/18/2024
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