Individual
MICHELLE RENEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
8123 CASTLETON RD, INDIANAPOLIS, IN 46250-2006
(317) 777-1034
Mailing address
5735 N RURAL ST, INDIANAPOLIS, IN 46220-2939
(805) 630-4893
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28281477A
IN
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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