Individual
JANELLE PORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2200 GOOD HOPE RD, ENOLA, PA 17025-1210
(717) 981-9000
(717) 312-3305
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SP007992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015206430002
—
PA
Enumeration date
05/13/2006
Last updated
10/06/2023
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