Individual
ANNA THERESE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2316
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 470-1936
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11214-33
WI
363LF0000X
Family Nurse Practitioner
2020169171
WI
Other
Enumeration date
04/06/2021
Last updated
05/25/2022
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