Individual
DANIELLE LESLIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 SAINT CLAIR AVE SW BLDG 3, HUNTSVILLE, AL 35801-5057
(443) 847-6000
Mailing address
222 LEGACY PARK DR, HUNTSVILLE, AL 35806-4213
(949) 842-7994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
785739
CA
363LF0000X
Family Nurse Practitioner
Primary
R183185
MD
Other
Enumeration date
05/25/2015
Last updated
05/11/2021
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