Individual
MRS. ANDREA LYNNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CWON
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 395-3298
(308) 395-3289
Mailing address
4265 AUGUSTA PKWY, GRAND ISLAND, NE 68803-5613
(308) 440-2357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64046
NE
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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