Provider Demographics
NPI:1912792508
Name:POTTER, MAGGIE (PA-S)
Entity type:Individual
Prefix:MS
First Name:MAGGIE
Middle Name:
Last Name:POTTER
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UNITYPOINT WAY
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-4750
Mailing Address - Country:US
Mailing Address - Phone:641-753-2752
Mailing Address - Fax:
Practice Address - Street 1:51 UNITYPOINT WAY
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-4750
Practice Address - Country:US
Practice Address - Phone:641-753-2752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant