Vicky Lynn Potter

Individual provider Active NPI Personal Care Attendant · Creighton, NE

NPI 1295547347 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1295547347
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
PO Box 52
606 Walnut Street
Creighton, NE 68729-0052
Phone
(402) 358-5653
NPI assigned
Jan 24, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

PO Box 52
606 Walnut Street
Creighton, NE 68729-0052

Mailing address

PO Box 52
Creighton, NE 68729-0052
Phone (402) 358-5653

Other providers in Creighton, NE

All providers in Creighton, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.