Individual
PATRICIA PORTILLA
Active
Individual
PATRICIA PORTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
151993
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
12715
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521352
—
TN
01
—
4279925
BCBST
TN
Enumeration date
01/26/2007
Last updated
02/03/2011
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