Individual
MRS. MELISSA E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 262-3125
Mailing address
12567 STATE ROUTE 46, BOONVILLE, NY 13309-4352
(315) 790-2670
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F337295-1
NY
364SF0001X
Family Health Clinical Nurse Specialist
F337295-1
NY
364SM0705X
Medical-Surgical Clinical Nurse Specialist
F337295-1
NY
Other
Enumeration date
06/20/2012
Last updated
07/26/2018
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