National Provider Identifier

Amanda Potts, LPN

Amanda Potts, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Alden, NY and a listed phone number of (716) 387-8384.

NPI 1790487262Alden, NYLicensed Practical Nurse

Profile Overview

NPI
1790487262
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 20, 2023
Last Updated
November 08, 2023

Practice Location

  • 12886 Main St
  • Alden, NY 14004-1206

Phone: (716) 387-8384

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790487262
Entity Type
Individual
Last Name
Potts
First Name
Amanda
Credential
LPN
Provider Other Last Name
Pitz
Provider Other First Name
Amanda
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
12886 Main St
Mailing City
Alden
Mailing State
NY
Mailing ZIP Code
14004-1206
Mailing Country
US
Mailing Phone
(716) 387-8384
Practice Street Address
12886 Main St
Practice City
Alden
Practice State
NY
Practice ZIP Code
14004-1206
Practice Country
US
Practice Phone
(716) 387-8384
Enumeration Date
March 20, 2023
Last Updated
November 08, 2023
Sex
Female
Sole Proprietor
No
Certification Date
November 08, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)