Individual
MS. GAYLE SUSAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
28093585A
IN
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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