Individual provider · Type 1 NPI
Corrine Potter, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · Worcester, MA
NPI number
1255880175
Active
Practice location
19 Tacoma St
Worcester, MA 01605-3516
Mailing address
650 Lincoln St
Worcester, MA 01605-2060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2266298 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1255880175
Corrine Potter, PMH-NP's National Provider Identifier is 1255880175, issued on Oct 4, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Worcester, MA. The record was last updated on Mar 21, 2018.