Most Relevant Information
Provider Data
| NPI Number: | 1003322322 |
| Provider Name: | RACHELLE LYNN POTTER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4200331 |
Most Important Dates
| Enumeration Date: | 12/22/2017 |
| Last Updated: | 12/22/2017 |
Provider Practice Location
400 FOREST AVE
BUFFALO
NY
142131207
Practice Location Phone/Fax
| Phone: | 7168162935 |
| Fax: | 7168162250 |
Provider Mailing Location
400 FOREST AVE
BUFFALO
NY
142131207
Provider Mailing Phone/Fax
| Phone: | 7168162935 |
| Fax: | 7168162250 |