Active NPIIndividual provider

Angela J Potter, ATC

Specialist/Technologist, Athletic Trainer in Gorham, Maine

NPI Number1639515810
Practice location
37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032
Fax
207-780-5354
Last updated
May 15, 2013

Angela J Potter is a Specialist/Technologist, Athletic Trainer based in Gorham, ME. Angela J Potter practices in Gorham, ME and has the professional credentials of ATC. The NPI Number for Angela J Potter is 1639515810 and holds a License No. AT221 (ME). The current practice location address for Angela J Potter is 37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032 and can be reached out via phone at 207-780-5943 and via fax at 207-780-5354.

Provider Profile Details

NPI Number
1639515810
Provider Name
Angela J Potter
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032
Phone Number
207-780-5943
Fax Number
207-780-5354
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
May 15, 2013
Last Update Date
May 15, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 College Ave
Costello Sports Complex
Gorham, ME 04038-1032
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
207-780-5943
Fax Number
207-780-5354
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
37 College Ave
Costello Sports Complex
Gorham, ME 04038-1032
City
Gorham
State
ME
Zip
04038-1032
Phone Number
207-780-5943
Fax Number
207-780-5354

License Information

License Number
AT221
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

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 Angela J Potter, ATC?

The NPI number of Angela J Potter, ATC is 1639515810. It was assigned on May 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Angela J Potter, ATC?

Angela J Potter, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT221.

Where does Angela J Potter, ATC practice?

The practice location is 37 College Ave, Costello Sports Complex, Gorham, ME 04038-1032. The office can be reached at 207-780-5943 (phone) or 207-780-5354 (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 1639515810 directly on the NPPES registry website.

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