| Doctor Name: | MARCIA ALYSE POTTER |
| NPI Number: | 1609853308 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71000978A |
| Business Practice Address: | 300 Tuskegee Blvd Dover Afb, DE - 199025300 |
| Business Phone Number: | 3026772669 |
| Business Fax Number: | |
| Mailing Address: | 19 Arbor Dr, DOVER |
| State: | DE |
| Postal Code: | 199049679 |
| Phone Number: | 3027303604 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 71000978A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |