Individual
TRICIA A. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 WASON AVENUE, SUITE 230, SPRINGFIELD, MA 01107-1179
(413) 788-6139
(413) 737-1549
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN214271
MA
363LF0000X
Family Nurse Practitioner
Primary
214271
MA
Other
Enumeration date
08/27/2014
Last updated
03/09/2016
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