Individual provider · Type 1 NPI
Deborah Krist Potticary
Nurse Practitioner · Winston Salem, NC
Practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Fax (336) 718-9622
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice locations
- 80 Seymour St, Palliative Care, Hartford, CT 06106-3315 · (860) 977-8433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6946 (CT) |
| Nurse Practitioner Primary | 363L00000X | 5011655 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1013455039
Deborah Krist Potticary's National Provider Identifier is 1013455039, issued on Feb 9, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Oct 26, 2020.