GINA POTTER
NPI 1639870769
Registered Nurse - Case Management in Fort Wayne, IN
Active since March 15, 2023
About Gina Potter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA POTTER (NPI 1639870769) is an individual case management provider in Fort Wayne, Indiana, licensed in Indiana (28176739A) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1639870769
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameGINA POTTER
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100
Phone(260) 426-5431
Sole ProprietorNo
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1639870769 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in IN · 28176739A
2121 LAKE AVE, Fort Wayne, IN 46805
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Cardiovascular Disease)
2121 LAKE AVE
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639870769, enumerated as an "individual" on March 15, 2023.
The provider is located at 2121 LAKE AVE FORT WAYNE, IN 46805 and the phone number is (260) 426-5431.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
