Individual
ANDREA CAPPEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Mailing address
547 E 11TH AVE, COLUMBUS, OH 43211-2603
(614) 224-4506
(614) 291-0118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.326657
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12514
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052593
—
OH
Enumeration date
08/16/2011
Last updated
07/21/2022
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