Individual provider · Type 1 NPI

Danita Renae Potter, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Bastrop, LA

NPI number 1073167573 Active

Practice location

518 Durham St
Bastrop, LA 71220-5013

Call (318) 283-8887 Map

Fax (318) 281-2559

Mailing address

PO Box 792
Bastrop, LA 71221-0792

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X206980 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1073167573

Danita Renae Potter, PMHNP's National Provider Identifier is 1073167573, issued on Aug 1, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bastrop, LA. The record was last updated on Jul 15, 2020.