Individual
AMBER L PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1915 LENDEW ST, GREENSBORO, NC 27408-7033
(336) 275-3325
(336) 275-5346
Mailing address
1915 LENDEW ST, GREENSBORO, NC 27408-7033
(336) 275-3325
(919) 787-7247
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-03861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-03861
NC MEDICAL LICENSE
NC
01
—
PTAN9523A
MEDICARE PTAN
NC
Enumeration date
10/19/2012
Last updated
03/07/2023
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