Individual
PAULA PORTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 686-9016
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 686-9016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F430467
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03196792
—
NY
Enumeration date
07/01/2009
Last updated
04/21/2017
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