Active NPIIndividual provider

Mrs. Lisa A Pottasch, APRN

Clinical Nurse Specialist, Adult Health in Bethel, Connecticut

NPI Number1104114545
Practice location
4BERKSHIRE Boulevard, Ability Beyond Disability, Bethel, CT 06801
Fax
203-775-8028
Last updated
October 17, 2011

Lisa Anne Pottasch is a Clinical Nurse Specialist, Adult Health based in Bethel, CT. Lisa Anne Pottasch practices in Bethel, CT and has the professional credentials of APRN. The NPI Number for Lisa Anne Pottasch is 1104114545 and holds a License No. 004652 (CT). The current practice location address for Lisa Anne Pottasch is 4BERKSHIRE Boulevard, Ability Beyond Disability, Bethel, CT 06801 and can be reached out via phone at 203-775-4700 and via fax at 203-775-8028.

Provider Profile Details

NPI Number
1104114545
Provider Name
Lisa Anne Pottasch
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
4BERKSHIRE Boulevard, Ability Beyond Disability, Bethel, CT 06801
Phone Number
203-775-4700
Fax Number
203-775-8028
Primary Taxonomy
Clinical Nurse Specialist, Adult Health · 364SA2200X
Sole Proprietor
No
Provider Enumeration Date
July 19, 2011
Last Update Date
October 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
4BERKSHIRE Boulevard
Ability Beyond Disability
Bethel, CT 06801
City
Bethel
Zip
06801
Phone Number
203-775-4700
Fax Number
203-775-8028
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
4BERKSHIRE Boulevard
Ability Beyond Disability
Bethel, CT 06801
City
Bethel
State
CT
Zip
06801
Phone Number
203-775-4700
Fax Number
203-775-8028

License Information

License Number (1)
004652
License State (1)
CT
Taxonomy (1)
Clinical Nurse Specialist, Adult Health · 364SA2200X · Primary
License Number (2)
F305500-1
License State (2)
NY
Taxonomy (2)
Clinical Nurse Specialist, Adult Health · 364SA2200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Lisa A Pottasch, APRN?

The NPI number of Mrs. Lisa A Pottasch, APRN is 1104114545. It was assigned on July 19, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lisa A Pottasch, APRN?

Mrs. Lisa A Pottasch, APRN is registered under the primary taxonomy Clinical Nurse Specialist, Adult Health (code 364SA2200X), licensed in CT under license number 004652.

Where does Mrs. Lisa A Pottasch, APRN practice?

The practice location is 4BERKSHIRE Boulevard, Ability Beyond Disability, Bethel, CT 06801. The office can be reached at 203-775-4700 (phone) or 203-775-8028 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104114545 directly on the NPPES registry website.

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