Individual provider · Type 1 NPI
Caitlin Rae Potter
Electroneurodiagnostic Specialist/Technologist · Boise, ID
NPI number
1245035666
Active
Practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
11232 W Hazelwood Dr
Boise, ID 83709-6387
Other practice locations
- 520 S Eagle Rd, Meridian, ID 83642-6351 · (208) 706-5000
- 801 Pole Line Rd W, Twin Falls, ID 83301-5810 · (208) 814-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1245035666
Caitlin Rae Potter's National Provider Identifier is 1245035666, issued on Feb 18, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Boise, ID. The record was last updated on Feb 18, 2025.