Provider Demographics
NPI:1083860712
Name:BARNETT-POTTS, DANIELA D (ST)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:D
Last Name:BARNETT-POTTS
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3868 CENTRAL PIKE APT 310
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3447
Mailing Address - Country:US
Mailing Address - Phone:615-668-3434
Mailing Address - Fax:
Practice Address - Street 1:4230 HARDING RD STE 300
Practice Address - Street 2:MEDICAL PLAZA EAST
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2158
Practice Address - Country:US
Practice Address - Phone:615-783-1269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist