Individual
BRITTNEY LEIGH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MALLARD CREEK RD, SUITE 320, LOUISVILLE, KY 40207-4194
(502) 473-2132
(502) 459-0923
Mailing address
100 MALLARD CREEK RD, SUITE 320, LOUISVILLE, KY 40207-4194
(502) 473-2132
(502) 459-0923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1122895
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3008757
KY
Other
Enumeration date
02/26/2014
Last updated
10/31/2014
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