Individual
MRS. KRISTIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, FNP-BC
Contact information
Practice address
2721 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0713
(480) 500-9307
Mailing address
2721 S SAN TAN VILLAGE PKWY STE 104, GILBERT, AZ 85295-0713
(480) 500-9307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP267819
AZ
Other
Enumeration date
12/29/2021
Last updated
03/28/2022
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