Individual
TERESA LYNN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 E MAIN ST, NORFOLK, VA 23510-1753
(757) 686-4002
Mailing address
1628 NOTLEY DR, VIRGINIA BEACH, VA 23456-5019
(757) 353-0889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-166315
AL
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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