Individual
MISS ALEXANDRA CHRISTINE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
15 KEMP AVE, TROY, NY 12180-7278
(518) 229-5589
Mailing address
15 KEMP AVE, TROY, NY 12180-7278
(518) 229-5589
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
686205
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
686205
NY
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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