Individual provider · Type 1 NPI
Lan Potter, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Ellenton, FL
NPI number
1003640335
Active
Practice location
2640 57th Cir E Apt 202
Ellenton, FL 34222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APRN11032275 (FL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1003640335
Lan Potter, NURSE PRACTITIONER's National Provider Identifier is 1003640335, issued on Aug 29, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ellenton, FL. The record was last updated on Aug 29, 2024.