Individual
RACHEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8181 N CORNERSTONE DR, HAYDEN, ID 83835-8752
(078) 520-8772
Mailing address
333 E PENROSE AVE, POST FALLS, ID 83854-0246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66465
ID
Other
Enumeration date
09/13/2023
Last updated
09/14/2023
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