Individual
BRITTANIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
505 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 634-8311
Mailing address
PO BOX 207529, DALLAS, TX 75320-7529
(888) 383-7028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880000
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1026909
TX
Other
Enumeration date
10/19/2020
Last updated
01/14/2025
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