Individual provider · Type 1 NPI

Lisa Marie Potthoff, NP-C

Nurse Practitioner · Springfield, MO

NPI number 1629782479 Active

Practice location

3801 S National Ave Ste 900
Springfield, MO 65807-5210

Call (417) 875-3087 Map

Fax (417) 875-3594

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2023000172 (MO)

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 1629782479

Lisa Marie Potthoff, NP-C's National Provider Identifier is 1629782479, issued on Jan 6, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MO. The record was last updated on Feb 15, 2023.