Individual
CASSANDRA E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4634 HILLS AND DALES RD NW, CANTON, OH 44708-1510
(330) 493-1480
(330) 493-6805
Mailing address
4634 HILLS AND DALES RD NW, CANTON, OH 44708-1510
(330) 477-0255
(330) 479-0392
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP11954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144023
—
OH
Enumeration date
11/08/2010
Last updated
02/28/2018
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