Provider Demographics
NPI:1689790883
Name:POTHIER, LOUISE MARIE (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:MARIE
Last Name:POTHIER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2822
Mailing Address - Country:US
Mailing Address - Phone:978-664-5521
Mailing Address - Fax:
Practice Address - Street 1:3 WOODLAND RD STE 212
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-1711
Practice Address - Country:US
Practice Address - Phone:781-662-2288
Practice Address - Fax:781-662-7546
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160516163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant