Caitlin Rae Potter
Specialist/Technologist, Other, Electroneurodiagnostic in Boise, ID. Individual provider (NPI-1).
NPI number1245035666
StatusActive
Last updated in NPPESFeb 18, 2025
Details
- NPI
- 1245035666
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Rae Potter
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2025
- Certification date
- Feb 18, 2025
- Last updated
- Feb 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | ID | Yes |
Practice location
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
Mailing address
11232 W Hazelwood DrBoise, ID 83709-6387
Phone 208-571-1409
Other practice locations
520 S Eagle Rd
Meridian, ID 83642-6351
Meridian, ID 83642-6351
Phone 208-706-5000
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Twin Falls, ID 83301-5810
Phone 208-814-1000
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