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Individual

CHERYL PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ACNP

Contact information

Practice address
1700 BAYBERRY CT, RICHMOND, VA 23226-3791
(804) 281-0451
Mailing address
2406 BRYAN PARK AVE, RICHMOND, VA 23228-5919
(804) 908-2663

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001124845
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024170392
VA

Other

Enumeration date
10/24/2012
Last updated
10/24/2012
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