Dorian Potter
Individual provider Active NPI Registered Nurse · Morrill, ME
NPI 1104352897 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1104352897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN62783 (ME)
- Practice address
- 32 Center St
Morrill, ME 04952-0055 - Phone
- (207) 215-9829
- NPI assigned
- May 2, 2017
- Sex
- Male
- 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 |
|---|---|---|---|
| RN62783 | ME | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN62783 | ME | Yes |
Addresses
Primary practice location
32 Center St
Morrill, ME 04952-0055
Mailing address
PO Box 55
Morrill, ME 04952-0055
Other providers in Morrill, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. 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.