Individual
MOLLY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
481 MACKINAW CIR, FAIRLAWN, OH 44333-2827
(330) 209-9116
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.019692
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.019692
OH
Other
Enumeration date
07/25/2016
Last updated
12/04/2020
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