Individual
MRS. DEIRDRE ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4422 GENERAL MEYER AVE, SUITE 100, NEW ORLEANS, LA 70131-3588
(504) 361-6092
Mailing address
3700 MAX DR, HARVEY, LA 70058-2101
(504) 810-9600
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN67003
LA
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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