Individual
CHANNA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3225 W GORDON AVE STE 1, LAYTON, UT 84041-5728
(801) 397-6150
(801) 397-6151
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
198999-4405
UT
363LF0000X
Family Nurse Practitioner
19899-4405
UT
Other
Enumeration date
05/23/2022
Last updated
09/01/2022
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