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Individual

BRANDIE L PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM, FNP

Contact information

Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Mailing address
PO BOX 810, HANOVER, NH 03755-0810

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
048205-23
NH
367A00000X
Advanced Practice Midwife
Primary
048205-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024318
VT
05
200335640
IN
05
3099804
NH
Enumeration date
11/08/2005
Last updated
10/21/2025
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