Derick Aaron Potter, ARNP

Nurse Practitioner · Chehalis, WA

Individual Active NPI

NPI number 1811355803

Practice location

2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone
(360) 330-9595
Fax
(360) 330-9530

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NPI record

NPI
1811355803
Entity type
Individual (Type 1)
Enumeration date
February 4, 2016
Last updated
February 4, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X AP60630477 WA

About Derick Potter

Derick Aaron Potter, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2690 NE Kresky Ave, Chehalis, WA 98532-2412. The NPI number 1811355803 was assigned on February 4, 2016 and the record was last updated on February 4, 2016.

Derick Potter lists a license in the registry: #AP60630477 (WA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derick Aaron Potter, ARNP?

The NPI number is 1811355803.

What is the phone number of Derick Potter?

The phone number listed for the practice location is (360) 330-9595.

Where is Derick Potter located?

2690 NE Kresky Ave, Chehalis, WA 98532-2412.

What is the taxonomy code for Derick Potter?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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