Individual
AMY M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 S UNIVERSITY AVE, PROVO, UT 84601-4427
(801) 851-7024
(801) 851-7063
Mailing address
151 S UNIVERSITY AVE, SUITE 1900, PROVO, UT 84601-4427
(801) 851-7042
(801) 851-7063
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
2677378-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225109063
—
UT
05
—
1891865010
—
UT
Enumeration date
06/17/2013
Last updated
06/17/2013
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