National Provider Identifier
Katrina J Potter
Katrina J Potter is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Medina, NY and a listed phone number of (716) 940-9916.
Profile Overview
- NPI
- 1124316278
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 11, 2011
- Last Updated
- March 18, 2025
Practice Location
- 113 Worthy Ave
- Medina, NY 14103-1343
Phone: (716) 940-9916
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1124316278
- Entity Type
- Individual
- Last Name
- Potter
- First Name
- Katrina
- Middle Name
- J
- Provider Other Last Name
- Hilbert
- Provider Other First Name
- Katrina
- Provider Other Middle Name
- J
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 113 Worthy Ave
- Mailing City
- Medina
- Mailing State
- NY
- Mailing ZIP Code
- 14103-1343
- Mailing Country
- US
- Mailing Phone
- (716) 940-9916
- Practice Street Address
- 113 Worthy Ave
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1343
- Practice Country
- US
- Practice Phone
- (716) 940-9916
- Enumeration Date
- July 11, 2011
- Last Updated
- March 18, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 18, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)