Provider Demographics
NPI:1821377466
Name:POTTER, KATHARINE (MSN, NP-C)
Entity Type:Individual
Prefix:MISS
First Name:KATHARINE
Middle Name:
Last Name:POTTER
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:SWAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9746
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04104-5040
Mailing Address - Country:US
Mailing Address - Phone:207-828-2449
Mailing Address - Fax:207-828-7850
Practice Address - Street 1:114 BATH RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2606
Practice Address - Country:US
Practice Address - Phone:207-798-4400
Practice Address - Fax:207-798-4452
Is Sole Proprietor?:No
Enumeration Date:2011-08-14
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP111067363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME002377402Medicare PIN