NPI 1063339729

Ashton Potter

Practitioner Case Manager/Care Coordinator Burley, ID

Practice location

Address: 1323 Oakley Ave STE 22, Burley, ID 83318-1833
Phone: (208) 679-9401

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1063339729
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2026
Record last updated: 2 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.