Individual
DANIEL PORTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
802 E GORHAM ST, MADISON, WI 53703-1524
(608) 280-4713
(608) 280-4707
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 540-8288
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244422-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101.0139266
VT
Other
Enumeration date
01/29/2019
Last updated
05/07/2026
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