Most Relevant Information
Provider Data
| NPI Number: | 1003446659 |
| Provider Name: | ESSATARICA POTTER |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 169394 |
Most Important Dates
| Enumeration Date: | 01/23/2020 |
| Last Updated: | 01/23/2020 |
Provider Practice Location
532 MAXWELL AVE
CINCINNATI
OH
452192408
Practice Location Phone/Fax
| Phone: | 5135592000 |
| Fax: |
Provider Mailing Location
532 MAXWELL AVE
CINCINNATI
OH
452192408
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |