Kathleen M Potts, CPNP Valid NPI
Individual provider · Pediatric Nurse Practitioner · Bridgeton, MO
- NPI
- 1518912708
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0200X
- License number
- 051628 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-05-24
- Last updated
- 2017-10-09
Practice location
12303 Depaul Drive
Bridgeton, MO 63044
(314) 344-6000