Individual provider · Type 1 NPI

Gina Potter

Case Management Registered Nurse · Fort Wayne, IN

NPI number 1639870769 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X28176739A (IN)

Case Management Registered Nurse: Definition to come...

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About NPI 1639870769

Gina Potter's National Provider Identifier is 1639870769, issued on Mar 15, 2023. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 15, 2023.