Valerie Louise Potter, LPN
Individual provider Active NPI Licensed Practical Nurse · Augusta, WV
NPI 1104215565 · NPPES record last updated Jan 22, 2015
Key facts
- NPI
- 1104215565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 25435 (WV)
- Practice address
- 4928 Ford Hill Road
Augusta, WV 26704 - Phone
- (304) 851-4459
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002088630 | VA | MD | Licensed Practical Nurse |
| 25435 | WV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 25435 | WV | Yes |
| Licensed Practical Nurse | 164W00000X | 0002088630 | VA |
Addresses
Primary practice location
4928 Ford Hill Road
Augusta, WV 26704
Mailing address
4928 Ford Hill Road
Augusta, WV 26704
Phone (304) 851-4459
Other providers in Augusta, WV
- Lydia Maria Moreland
- Pamela Moreland
- Karen Mullins
- Chloe Renae Palmer
- Katina Park
- Courtney Raines
- Selena Michelle Rivas-Alexander
- Gidget Roksandich Slater
- Tera Y Royston
- Janeen Renee Ruble
All providers in Augusta, WV · Licensed Practical Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.