Individual
AUDREY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8920 E TANQUE VERDE RD, TUCSON, AZ 85749-9604
(520) 760-9188
Mailing address
8920 E TANQUE VERDE RD, TUCSON, AZ 85749-9604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
287996
AZ
Other
Enumeration date
04/11/2018
Last updated
04/11/2023
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