Individual
TANYA MELONIE LITCHMORE-PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
(336) 334-5000
Mailing address
124 E GATE CITY BLVD, GREENSBORO, NC 27406-1457
(336) 334-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
298955
NC
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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