Individual
MARIE ELIZABETH PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-5239
(513) 584-5139
Mailing address
3200 BURNET AVE, CINCINNATI, OH 45229-3019
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
AP127693
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0030472
OH
Other
Enumeration date
03/11/2015
Last updated
05/08/2023
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