Individual
MS. DEANNA GAIL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
28427-31
Contact information
Practice address
1706 S THOMPSON DR, MADISON, WI 53716-1982
(608) 228-7902
Mailing address
1706 S THOMPSON DR, MADISON, WI 53716-1982
(608) 228-7902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
28427-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F-11258
PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT ADULT
WI
01
—
F-11259
PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT PEDIATRIC
WI
Enumeration date
05/28/2015
Last updated
05/28/2015
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