Individual
CAROLEE PORTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1060 GAFFNEY RD, #7440, FT. WAINWRIGHT, AK 99703-7440
(907) 353-5418
Mailing address
1060 GAFFNEY RD, #7440, FT. WAINWRIGHT, AK 99703-7440
(907) 353-5418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20980
AK
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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