Individual
ALLISON PORTER NAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1624 N JESSUP STREET, WILMINGTON, DE 19802
(302) 552-3574
Mailing address
1624 JESSUP ST, WILMINGTON, DE 19802-4210
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP019312
PA
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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