Healthcare Provider Details

I. General information

NPI: 1386579175
Provider Name (Legal Business Name): DEVON S. POTTER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 KYNOCH AVE
BARRE VT
05641-4623
US

IV. Provider business mailing address

PO BOX 647
MONTPELIER VT
05601-0647
US

V. Phone/Fax

Practice location:
  • Phone: 802-479-1339
  • Fax: 802-479-4090
Mailing address:
  • Phone: 802-229-1399
  • Fax: 802-223-8623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number026.0153445
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: