Individual
EMILY RAE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
9500 EUCLID AVE # J34, CLEVELAND, OH 44195-0001
(216) 618-1106
Mailing address
1278 W 9TH ST APT 1215, CLEVELAND, OH 44113-5504
(216) 209-0706
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.13216-NP
OH
Other
Enumeration date
03/29/2012
Last updated
12/20/2018
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