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Individual

AMY NICOLE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN CWS

Contact information

Practice address
26181 PARKSLEY RD, PARKSLEY, VA 23421-3723
(757) 331-0084
Mailing address
PO BOX 207, CRADDOCKVILLE, VA 23341-0207
(757) 331-0084

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
0001222756
VA

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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