Healthcare Provider Details

I. General information

NPI: 1346175023
Provider Name (Legal Business Name): CHRISTEN PORPORA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 BROAD ST
GLENS FALLS NY
12801-4386
US

IV. Provider business mailing address

84 BROAD ST
GLENS FALLS NY
12801-4386
US

V. Phone/Fax

Practice location:
  • Phone: 518-798-9538
  • Fax: 518-615-0041
Mailing address:
  • Phone: 518-798-9538
  • Fax: 518-615-0041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF360061-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: