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NPI Code Detail

MEDICARE: RAASHIDA B PORTIER FNP

MEDICARE: RAASHIDA B PORTIER 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
1208100000XPhysical Medicine & Rehabilitation PhysicianAPRN11017176FL
2363LF0000XFamily Nurse Practitioner11017176FL
3363LP0808XPsychiatric/Mental Health Nurse Practitioner11017176FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477213916
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAASHIDA B PORTIER FNP
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT STE 208
Second Line :
City : SPRING
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 281-724-3050
Fax Number : 512-628-3314
Provider Business Practice Location Address
First Line : 7201 N UNIVERSITY DR
Second Line :
City : TAMARAC
State : FL
Zip : 33321-2913
Country : US
Telephone Number : 281-724-3050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/25/2021
Last Update Date : 03/30/2026

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