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NPI Code Detail

MEDICARE: MRS. NORMA S. PORTER A.P.R.N.

MEDICARE: MRS. NORMA S. PORTER A.P.R.N.
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 PractitionerAP 02060LA
2163W00000XRegistered NurseRN 043469LA

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 : 1750412003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NORMA S. PORTER A.P.R.N.
Provider Business Mailing Address
First Line : 3406 HORSESHOE DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-2527
Country : US
Telephone Number : 318-443-5845
Fax Number :
Provider Business Practice Location Address
First Line : 2351 VANDENBURG DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-5609
Country : US
Telephone Number : 318-483-7113
Fax Number : 318-483-7244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/05/2013

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