Individual
MRS. CLAUDETTE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
4821 NW 22ND CT APT 108, LAUDERHILL, FL 33313-3408
(954) 842-6997
Mailing address
247 STRATHMORE CIR, KISSIMMEE, FL 34744-5442
(754) 245-0586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3369092
FL
163WH0200X
Home Health Registered Nurse
RN3369092
FL
163WS0200X
School Registered Nurse
RN3369092
FL
Other
Enumeration date
01/05/2011
Last updated
02/13/2019
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