Individual
CARISSA PORTA
Active
Individual
CARISSA PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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