Individual
MRS. SAFURATU AJAYI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
1000 MOUNT OLIVET RD NE, WASHINGTON, DC 20002-2210
(202) 576-7624
(202) 576-8457
Mailing address
12222 GUINEVERE RD, GLENN DALE, MD 20769-8936
(240) 472-2197
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP500340003
DC
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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