Kristina Marie Potanos in Herrin - Student In An Organized Health Care Education/training Program
Kristina Marie Potanos - NPI 1134393267
Kristina Marie Potanos is a Student In An Organized Health Care Education/training Program in Herrin, Illinois. Kristina Marie Potanos practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Kristina Marie Potanos is 1134393267. The last update date is 2021-07-16.
Kristina Marie Potanos's current location address is 220 S Park Ave Fl 3, Herrin, Illinois. You can contact this provider via phone number 6189422002 and fax number 6183516497. The mailing address for Kristina Marie Potanos is 220 S Park Ave Fl 3, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristina Marie Potanos |
|---|---|
| Address | 220 S Park Ave Fl 3, Herrin, Illinois |
| Phone Number | 6189422002 |
| Fax Number | 6183516497 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134393267 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2021-07-16 |
Provider Mailing Address Detail
| Address | 220 S Park Ave Fl 3 |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629483602 |
| Phone Number | 6189422002 |
| Fax Number | 6183516497 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Kristina Marie Potanos?
The Kristina Marie Potanos has been issued the NPI (National Provider Identifier) 1134393267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kristina Marie Potanos is geographically located?
The Kristina Marie Potanos is physically situated at the following location: 220 S Park Ave Fl 3, Herrin, IL, 629483602.
What is Kristina Marie Potanos's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristina Marie Potanos's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Kristina Marie Potanos receive its 1134393267 assignment from the Centers for Medicare & Medicaid Services?
The Kristina Marie Potanos was assigned its 1134393267 by the Centers for Medicare & Medicaid Services on 2008-04-18.
As of what date was the information regarding Kristina Marie Potanos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kristina Marie Potanos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-16.