Individual
DONNA S. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 CORPORATE CIRCLE, SUITE 200, CHARLOTTE, NC 28147-8074
(704) 638-1550
(704) 638-1559
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 638-1550
(704) 638-1559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
930154
NC
363LN0000X
Neonatal Nurse Practitioner
930154
NC
Other
Enumeration date
02/20/2008
Last updated
06/11/2014
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