Individual
MOLLY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
701 S NEW BALLAS RD STE 150, SAINT LOUIS, MO 63141-8728
(636) 237-4025
(636) 237-4030
Mailing address
701 S NEW BALLAS RD STE 150, SAINT LOUIS, MO 63141-8728
(636) 237-4025
(636) 237-4030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014028448
MO
Other
Enumeration date
08/18/2014
Last updated
08/20/2024
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