Individual
BETHANY NOELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-DNP
Contact information
Practice address
22 BEAVER ST, AMBRIDGE, PA 15003-2487
(412) 347-1978
Mailing address
22 BEAVER ST, AMBRIDGE, PA 15003-2487
(412) 347-1978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN659912
PA
171M00000X
Case Manager/Care Coordinator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026294
PA
Other
Enumeration date
04/18/2022
Last updated
01/16/2023
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