Individual provider · Type 1 NPI

Loran Rae Pottruck, NP-C

Family Nurse Practitioner · Minnetonka, MN

NPI number 1114423738 Active

Practice location

9900 Bren Rd E
Minnetonka, MN 55343-9664

Call (239) 270-1680 Map

Mailing address

12248 Sherwood Rd
Bokeelia, FL 33922-3308

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X9235069 (FL)
School Nurse Practitioner 363LS0200X9235069 (FL)
Family Nurse Practitioner Primary 363LF0000X9235069 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1114423738

Loran Rae Pottruck, NP-C's National Provider Identifier is 1114423738, issued on Apr 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 11, 2020.