Provider Demographics
NPI:1841164100
Name:POTTER, PATRICIA MARIE WEBB (FNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE WEBB
Last Name:POTTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 MAIN ST # 17
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4872
Mailing Address - Country:US
Mailing Address - Phone:406-890-2087
Mailing Address - Fax:406-206-3638
Practice Address - Street 1:445 MAIN ST # 17
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4872
Practice Address - Country:US
Practice Address - Phone:406-890-2087
Practice Address - Fax:406-206-3638
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT268398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily