Individual
KATELYN RACHAEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6358 SPRINGFIELD PLZ, SPRINGFIELD, VA 22150-3431
(703) 644-5437
Mailing address
2720 S VEITCH ST APT 409, ARLINGTON, VA 22206-3056
(301) 802-6664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024186172
VA
Other
Enumeration date
01/02/2023
Last updated
01/12/2023
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