Individual
ANN MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
515 N 162ND AVE STE 300, OMAHA, NE 68118-2540
(402) 354-1200
(402) 354-1205
Mailing address
515 N 162ND AVE STE 300, OMAHA, NE 68118-2540
(402) 354-1200
(402) 354-1205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
06/19/2023
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