Individual
STEPHANIE A PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
10218 INTREPID WAY, COLORADO SPRINGS, CO 80925-8441
(985) 713-1256
Mailing address
10218 INTREPID WAY, COLORADO SPRINGS, CO 80925-8441
(985) 713-1256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
655048
TX
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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