| Doctor Name: | DEBORAH POTTLE |
| NPI Number: | 1417325176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN46809 |
| Business Practice Address: | 30 Boynton St Eastport, ME - 046311306 |
| Business Phone Number: | 2078536001 |
| Business Fax Number: | 2078534031 |
| Mailing Address: | Po Box H, EASTPORT |
| State: | ME |
| Postal Code: | 046310909 |
| Phone Number: | 2078536001 |
| Fax Number: | 2078534031 |
| NPI Enumeration Date: | 09/10/2015 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | RN46809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |