Individual
NICOLE MEGAN PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 PATEWOOD DR STE C300, GREENVILLE, SC 29615-6324
(864) 454-8272
(864) 454-2875
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6294
(803) 434-1634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21951
SC
Other
Enumeration date
06/11/2018
Last updated
02/20/2024
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