Tina Marie Pottorff in Indianapolis - Pediatrics

Tina Marie Pottorff - NPI 1437357043

Tina Marie Pottorff is a Pediatrics in Indianapolis, Indiana. Tina Marie Pottorff practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tina Marie Pottorff is 1437357043. The last update date is 2021-01-27.

Tina Marie Pottorff's current location address is 705 Riley Hospital Dr, Indianapolis, Indiana. You can contact this provider via phone number 3179443889 and fax number 3179443882. The mailing address for Tina Marie Pottorff is 705 Riley Hospital Dr, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Tina Marie Pottorff
Address 705 Riley Hospital Dr, Indianapolis, Indiana
Phone Number 3179443889
Fax Number 3179443882
Sole Proprietor N
Credentials CPNP, CDE

NPI Number Detail

NPI Number 1437357043
Provider Enumeration Date 2007-07-05
Last Updated Date 2021-01-27

Provider Mailing Address Detail

Address 705 Riley Hospital Dr
City Indianapolis
State Indiana (IN)
Post Code 462025109
Phone Number 3179443889
Fax Number 3179443882

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 28109103A
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201108710 IN --

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FAQs about Tina Marie Pottorff

What is the unique 10-digit identification code assigned to Tina Marie Pottorff by the Centers for Medicare & Medicaid Services?

The Tina Marie Pottorff has been issued the NPI (National Provider Identifier) 1437357043, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tina Marie Pottorff's facilities are geographically located?

The facilities of Tina Marie Pottorff are physically situated at the following location: 705 Riley Hospital Dr, Indianapolis, IN, 462025109.

What is the Tina Marie Pottorff's area of specialization and corresponding taxonomy classification?

The Tina Marie Pottorff's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1437357043 to Tina Marie Pottorff?

The Centers for Medicare & Medicaid Services assigned the 1437357043 to Tina Marie Pottorff on 2007-07-05.

As of what date was the information regarding Tina Marie Pottorff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tina Marie Pottorff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-01-27.

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