Provider Demographics
NPI:1043315476
Name:PILOTTE, AMY POTTER (APN, BC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:POTTER
Last Name:PILOTTE
Suffix:
Gender:F
Credentials:APN, BC
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Mailing Address - Street 1:PO BOX 16149
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-0697
Mailing Address - Country:US
Mailing Address - Phone:404-453-9625
Mailing Address - Fax:401-435-7069
Practice Address - Street 1:2 DUDLEY ST
Practice Address - Street 2:SUITE 470
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3236
Practice Address - Country:US
Practice Address - Phone:401-228-0595
Practice Address - Fax:401-868-2377
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RINPP37798363LA2200X
RIAPRN00438363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health