Individual
TIFFANY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3610 E ROSS PKWY, WICHITA, KS 67210-1311
(216) 866-2000
Mailing address
430 S DELLROSE AVE, WICHITA, KS 67218-1414
(702) 884-4793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5383978091
KS
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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