Wanda Poteet, APRN
Nurse Practitioner, Psych/Mental Health in White City, OR. Individual provider (NPI-1).
NPI number1083174544
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1083174544
- Entity type
- Individual (NPI-1)
- Name
- Wanda Poteet
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Last updated
- Mar 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 201901930-PP | OR | Yes |
Practice location
8495 Crater Lake HwyWhite City, OR 97503-3011
Phone 541-826-2111
Mailing address
3087 Arthur AveMedford, OR 97501-1133
Phone 541-951-6786
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