National Provider Identifier

Wayne Potter, LPN

Wayne Potter, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Shortsville, NY and a listed phone number of (585) 746-9466.

NPI 1356747158Shortsville, NYLicensed Practical Nurse

Profile Overview

NPI
1356747158
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 06, 2014
Last Updated
November 06, 2014

Practice Location

  • 1426 County Road 8
  • Shortsville, NY 14548-9748

Phone: (585) 746-9466

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Adult Companion (372600000X)
  • Home Health Aide (374U00000X)
Full Record
NPI
1356747158
Entity Type
Individual
Last Name
Potter
First Name
Wayne
Credential
LPN
Provider Other Last Name
Potter Homecare
Provider Other First Name
Wr
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
2
Mailing Street Address
1426 County Road 8
Mailing City
Shortsville
Mailing State
NY
Mailing ZIP Code
14548-9748
Mailing Country
US
Practice Street Address
1426 County Road 8
Practice City
Shortsville
Practice State
NY
Practice ZIP Code
14548-9748
Practice Country
US
Practice Phone
(585) 746-9466
Enumeration Date
November 06, 2014
Last Updated
November 06, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Adult Companion (372600000X), Home Health Aide (374U00000X)