Individual provider · Type 1 NPI
Elaine Pottenger
Pediatric Nurse Practitioner · New York, NY
NPI number
1316138399
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 380469 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316138399
Elaine Pottenger's National Provider Identifier is 1316138399, issued on Aug 6, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Aug 6, 2007.