MEDICARE: EVE SACHA POTEET DNP, PMHNP-BC

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
1	163W00000X	Registered Nurse	95180432	CA
2	163W00000X	Registered Nurse	0001198405	VA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024174143	VA
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95010980	CA

General Provider Information

NPI Number	:	1700850260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVE SACHA POTEET DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	4125 KARST RD
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92010-5563
Country	:	US
Telephone Number	:	760-576-5573
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MERCY CIRCLE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058
Country	:	US
Telephone Number	:	760-725-1288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/08/2024

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