Individual provider · Type 1 NPI

Tina Marie Pottorff, CPNP, CDE

Pediatric Nurse Practitioner · Indianapolis, IN

NPI number 1437357043 Active

Practice location

705 Riley Hospital Dr, Ri 5960
Indianapolis, IN 46202-5109

Call (317) 944-3889 Map

Fax (317) 944-3882

Mailing address

PO Box 713577
Chicago, IL 60677-0403

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X71002350A (IN)
Pediatric Nurse Practitioner 363LP0200X28109103A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1437357043

Tina Marie Pottorff, CPNP, CDE's National Provider Identifier is 1437357043, issued on Jul 5, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 26, 2026.