Individual
DANIELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3437 SNELLING AVE, MINNEAPOLIS, MN 55406-2637
(920) 313-0213
Mailing address
3437 SNELLING AVE, MINNEAPOLIS, MN 55406-2637
(920) 313-0213
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1999301
MN
Other
Enumeration date
06/21/2016
Last updated
04/05/2017
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