Individual provider · Type 1 NPI
Patrice Pottinger
Nurse Practitioner · Mangonia Park, FL
Practice location
901 45th St
Mangonia Park, FL 33407-2413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9375918 (FL) |
| Nurse Practitioner Primary | 363L00000X | 11043589 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1609788496
Patrice Pottinger's National Provider Identifier is 1609788496, issued on Sep 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mangonia Park, FL. The record was last updated on Sep 17, 2026.