Individual provider · Type 1 NPI

Samuel Weston Potter, FNP-C

Family Nurse Practitioner · Magna, UT

NPI number 1407563109 Active

Practice location

3665 S 8400 W
Magna, UT 84044-4907

Mailing address

2112 W 3300 S Apt E301
West Haven, UT 84401-9160

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7664963-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1407563109

Samuel Weston Potter, FNP-C's National Provider Identifier is 1407563109, issued on Nov 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Magna, UT. The record was last updated on Nov 1, 2022.