Individual
AMBER L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4430 MISSOURI AVE BLDG 310, FORT LEONARD WOOD, MO 65473
(573) 596-1770
(573) 596-1797
Mailing address
4430 MISSOURI AVE BLDG 310, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1770
(573) 596-1797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2014018613
MO
Other
Enumeration date
08/26/2010
Last updated
08/27/2018
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