Individual
GABRIELLA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
304 CEDAR ST, GARWOOD, NJ 07027-1109
(347) 631-7572
Mailing address
304 CEDAR ST, GARWOOD, NJ 07027-1109
(347) 631-7572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345670-01
NY
Other
Enumeration date
02/28/2020
Last updated
09/12/2020
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