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Individual

MS. ANNIE LEE POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
725 ALBANY STREET, SHAPIRO 5 & 6, BOSTON, MA 02118
(617) 414-5951
(617) 414-9201
Mailing address
720 HARRISON AVE.,, DOB 503, BOSTON, MA 02118
(617) 414-5405
(617) 414-6031

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2313447
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110121657A
MA
Enumeration date
11/24/2009
Last updated
04/16/2018
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