Provider Demographics
NPI:1407094048
Name:POTTEIGER, SHARON FRANCES (LM)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:FRANCES
Last Name:POTTEIGER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 356
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95017
Mailing Address - Country:US
Mailing Address - Phone:831-332-3075
Mailing Address - Fax:831-295-6706
Practice Address - Street 1:530 OCEAN ST
Practice Address - Street 2:STE A
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060
Practice Address - Country:US
Practice Address - Phone:831-471-7072
Practice Address - Fax:831-295-6706
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA241176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife