Individual
SUZANNE PORTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
222 TONGASS DR, MT. EDGECUMBE HOSPITAL, SITKA, AK 99835-9416
(907) 966-8520
Mailing address
PO BOX 2844, SITKA, AK 99835-2844
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
22448
AK
163WC0400X
Case Management Registered Nurse
336395
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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