MS. LAURA E POTESTA PAC NPI 1558636274

NPI Information

NPI: 1558636274
Provider Name: MS. LAURA E POTESTA, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
135 PROFESSIONAL PL
BRIDGEPORT, WV
ZIP 26330
Phone: (681) 342-3660
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MS. Laura E Potesta, PAC is a medical physician assistant in Bridgeport, WV with 13 years of experience. MS. Laura E Potesta, PAC NPI is 1558636274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

135 PROFESSIONAL PL
BRIDGEPORT, WV
ZIP 26330-509
Phone: (681) 342-3660
Fax: (681) 342-3698

The NPI 1558636274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA07575	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	01698	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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