Individual
AMBER REESE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
(602) 839-2232
Mailing address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
(602) 839-2232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN112226
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP3498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
474834
—
AZ
Enumeration date
09/23/2009
Last updated
12/01/2016
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