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NPI Code Detail

MEDICARE: AMBER RENEA PORTER FNP

MEDICARE: AMBER RENEA PORTER FNP
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
1363LF0000XFamily Nurse Practitioner1-124916AL

General Provider Information

NPI Number : 1821665696
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER RENEA PORTER FNP
Provider Business Mailing Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number : 256-382-3680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2021
Last Update Date : 12/11/2025

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Directions to “ AMBER RENEA PORTER FNP” Practice Location

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