Healthcare Provider Details

I. General information

NPI: 1518055862
Provider Name (Legal Business Name): HILDA EVANGELINE PORTER RN, FNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILDA EVANGELINE MONAGHAN FNP-BC

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CADILLAC DR SUITE 250
BRENTWOOD TN
37027-5087
US

IV. Provider business mailing address

8 CADILLAC DR SUITE 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 713-560-6800
  • Fax:
Mailing address:
  • Phone: 713-560-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number424682
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number424682
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: