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NPI Code Detail

MEDICARE: TATIANA PORTER

MEDICARE: TATIANA PORTER
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
1163W00000XRegistered Nurse899209NV

General Provider Information

NPI Number : 1578492252
Entity Type Code : Individual
Provider Name (Legal Business Name) : TATIANA PORTER
Provider Business Mailing Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 725-251-3854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ TATIANA PORTER ” Practice Location

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