Individual
LOURDES CAROLYNE POTHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
14044 W CAMELBACK RD STE 204, LITCHFIELD PARK, AZ 85340-9426
(623) 935-9600
(623) 935-9602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300841
AZ
363LF0000X
Family Nurse Practitioner
300841
AZ
Other
Enumeration date
12/21/2023
Last updated
02/21/2025
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