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Individual
TRIXIE PORTER
Active
Individual
TRIXIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620133
NURSING LICENSE
CO
Enumeration date
08/02/2016
Last updated
08/02/2016
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