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NPI Code Detail

MEDICARE: PATRICIA PORTER

MEDICARE: PATRICIA 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 NurseR20986ND

General Provider Information

NPI Number : 1518493857
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA PORTER
Provider Business Mailing Address
First Line : 1200 COLLINS AVE
Second Line :
City : MANDAN
State : ND
Zip : 58554-2066
Country : US
Telephone Number : 701-663-5373
Fax Number :
Provider Business Practice Location Address
First Line : 1200 COLLINS AVE
Second Line :
City : MANDAN
State : ND
Zip : 58554-2066
Country : US
Telephone Number : 701-663-5373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2017
Last Update Date : 12/14/2025

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Directions to “ PATRICIA PORTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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