Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lan Potter, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1003640335

Lan Potter, NURSEPRACTITIONER is a Nurse Practitioner in Ellenton, Florida. Qualified in 2023, 3 years ago. Practices with Cardiac and Vascular Consultants MD PA, a 13-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024

Practice location Address checks out

2640 57th Cir E Apt 202
Ellenton, FL 34222
Phone: (319) 671-2270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN11032275 (FL)

Record details

NPI number1003640335
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address2640 57th Cir E Apt 202, 2640 57th Cir E Apt 202, Ellenton, FL 34222

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cardiac And Vascular Consultants Md Pa — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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