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Individual

MRS. BETTY MELISSA PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, CFNP

Contact information

Practice address
575 SUGAR LOAF MOUNTAIN RD, MOREHEAD, KY 40351-9177
(606) 784-9177
(606) 780-4622
Mailing address
575 SUGAR LOAF MOUNTAIN RD, MOREHEAD, KY 40351-9177
(606) 784-5384
(606) 780-4622

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2124P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78001740
KY
Enumeration date
02/08/2007
Last updated
07/08/2007
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