Individual
ROBIN NICCOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 JEFFERSON DR, LOWER BURRELL, PA 15068-3142
(724) 575-0194
Mailing address
126 JEFFERSON DR, LOWER BURRELL, PA 15068-3142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN666850
PA
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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