MS. SUSAN ELIZABETH POTTS-NULTY RN CRNP NPI 1881797116

NPI Information

NPI: 1881797116
Provider Name: MS. SUSAN ELIZABETH POTTS-NULTY, RN CRNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
VAMC UNIVERSITY AND WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 823-5800
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MS. Susan Elizabeth Potts-nulty, RN CRNP is a primary care nurse practitioner in Philadelphia, PA. MS. Susan Elizabeth Potts-nulty, RN CRNP NPI is 1881797116. 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:

VAMC UNIVERSITY AND WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 823-5800
Fax: (215) 823-4411

The enumeration date for this NPI number is 9/5/2006 and was last updated on 4/21/2022.

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	363L00000X	Nurse Practitioner		SP000997C	PENNSYLVANIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	SP000997C	PENNSYLVANIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	SP000997C	PENNSYLVANIA	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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