Individual
CARISSA PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4750 E GALBRAITH RD, SUITE 210, CINCINNATI, OH 45236-6705
(513) 686-4830
(513) 686-4836
Mailing address
4750 E GALBRAITH RD, SUITE 210, CINCINNATI, OH 45236-6705
(513) 686-4830
(513) 686-4836
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
09046
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP09046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2727606
—
OH
Enumeration date
12/15/2006
Last updated
09/16/2011
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