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NPI Code Detail

MEDICARE: TAYLOR POTTER

MEDICARE: TAYLOR POTTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner478896OH

General Provider Information

NPI Number : 1083552152
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR POTTER
Provider Business Mailing Address
First Line : 870 SHELBY ONTARIO RD
Second Line :
City : ONTARIO
State : OH
Zip : 44906-1038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 870 SHELBY ONTARIO RD
Second Line :
City : ONTARIO
State : OH
Zip : 44906-1038
Country : US
Telephone Number : 419-545-2096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ TAYLOR POTTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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