IndividualActive
Gina Potter
NPI 1639870769 · Case Management Registered Nurse · Fort Wayne, IN
Provider details
- NPI number
- 1639870769
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 28176739A (IN)
Specialties & taxonomies
Nursing Service Providers
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Approximate (ZIP-level) locationGet directions
Mailing address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.