Individual
STUART THAIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-RNP, PMHNP-BC
Contact information
Practice address
1501 N GILBERT RD STE 206, GILBERT, AZ 85234-2394
(480) 626-2024
Mailing address
5348 S VERDE, MESA, AZ 85212-9116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
264908
AZ
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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