Individual
CASSIE L PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3181 W 9000 S, WEST JORDAN, UT 84088-5610
(801) 352-5950
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8325733-4405
UT
363L00000X
Nurse Practitioner
Primary
8325733-8900
UT
Other
Enumeration date
08/02/2021
Last updated
03/17/2026
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