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Amy-grace Pothen
Student in an Organized Health Care Education/Training Program in Winter Haven, Florida
NPI 1952153462

Amy-grace Pothen is a Student in an Organized Health Care Education/Training Program based in Winter Haven, FL. Amy-grace Pothen practices in Winter Haven, FL. The NPI Number for Amy-grace Pothen is 1952153462 and holds a License No. (Florida).

The current practice location address for Amy-grace Pothen is 200 Avenue F Ne, Winter Haven, FL and can be reached out via phone at 863-293-1121.

Location: 200 Avenue F Ne, Winter Haven, FL, 33881-4131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952153462
Provider Name
Amy-grace Pothen
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Avenue F Ne, Winter Haven, FL, 33881-4131
Phone Number
863-293-1121
Fax Number
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
200 Avenue F Ne
City
Winter Haven
State
Florida
Zip
33881-4131
Phone Number
863-293-1121
Fax Number
person
Provider Business Mailing Address Details
Address
200 Avenue F Ne
City
Winter Haven
State
Florida
Zip
33881-4131
Phone Number
863-293-1121
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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