Individual
SHANA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-4699
(317) 621-5600
Mailing address
5927 WINTHROP AVE, INDIANAPOLIS, IN 46220-2674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28236389A
IN
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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