Individual provider · Type 1 NPI
Lisa Anne Pottasch, APRN
Adult Health Clinical Nurse Specialist · Bethel, CT
NPI number
1104114545
Active
Practice location
4BERKSHIRE Boulevard, Ability Beyond Disability
Bethel, CT 06801
Fax (203) 775-8028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | 004652 (CT) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | F305500-1 (NY) |
Adult Health Clinical Nurse Specialist: Definition to come...
About NPI 1104114545
Lisa Anne Pottasch, APRN's National Provider Identifier is 1104114545, issued on Jul 19, 2011. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Bethel, CT. The record was last updated on Oct 17, 2011.