Individual
MS. EMILY AMANDA PORZONDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
50734 WOODBURY DR, NEW BALTIMORE, MI 48047-4391
(586) 354-1711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704362685
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704362685
MI
Other
Enumeration date
03/25/2025
Last updated
12/11/2025
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