Individual
ABBEY ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
3920 DUTCHMANS LN, 310, LOUISVILLE, KY 40207-4702
(502) 895-1489
(502) 895-1261
Mailing address
100 E LIBERTY ST, LOUISVILLE, KY 40202-1434
(502) 895-1489
(502) 895-1261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009948
KY
363LF0000X
Family Nurse Practitioner
1124958
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100377140
—
KY
Enumeration date
11/30/2015
Last updated
01/07/2019
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