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Tina Marie Pottorff, CPNP,CDE
Pediatric Nurse Practitioner in Indianapolis, Indiana
NPI 1437357043

Tina Marie Pottorff is a Pediatric Nurse Practitioner based in Indianapolis, IN and is specialized in Pediatrics. Tina Marie Pottorff practices in Indianapolis, IN and has the professional credentials of CPNP,CDE. The NPI Number for Tina Marie Pottorff is 1437357043 and holds a License No. 28109103A (Indiana).

The current practice location address for Tina Marie Pottorff is 705 Riley Hospital Dr, Indianapolis, IN and can be reached out via phone at 317-944-3889 and via fax at 317-944-3882. You can also correspond with Tina Marie Pottorff through the mailing address at PO BOX 1026, INDIANAPOLIS, IN - 46206-1026 (mailing address contact number: 317-777-6435).

Location: 705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
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Provider Profile Details
NPI Number
1437357043
Provider Name
Tina Marie Pottorff
Credential
CPNP,CDE
Provider Entity Type
Individual
Gender
Female
Address
705 Riley Hospital Dr, Indianapolis, IN, 46206-1026
Phone Number
317-944-3889
Fax Number
317-944-3882
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201108710 05 IN
institution
Provider Business Practice Location Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-3889
Fax Number
317-944-3882
person
Provider Business Mailing Address Details
Address
705 Riley Hospital Dr
City
State
Zip
46202-5109
Phone Number
317-944-3889
Fax Number
317-944-3882
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
28109103A (Indiana)
Definition
Definition to come...
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