Individual
KERRI ANN PORTANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HOSPITAL DR, MONTROSE, PA 18801-6402
(570) 278-3801
(570) 278-4381
Mailing address
100 HOSPITAL DR, MONTROSE, PA 18801-6402
(570) 278-3801
(570) 278-4381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024997
NY
363A00000X
Physician Assistant
Primary
MA057083
PA
Other
Enumeration date
09/05/2014
Last updated
06/18/2020
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