Individual
MR. NATHAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
34225 N 27TH DR STE 140, PHOENIX, AZ 85085-6090
(623) 688-1508
(602) 698-9668
Mailing address
9371 W ROBIN LN, PEORIA, AZ 85383-2989
(602) 326-6337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
299058
AZ
Other
Enumeration date
10/20/2023
Last updated
10/24/2023
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