Individual provider · Type 1 NPI

Mayrose Ruth Porter

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1093560385 Active

Practice location

715 S 8th St # 5
Minneapolis, MN 55404-7530

Fax (612) 904-4650

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093560385

Mayrose Ruth Porter's National Provider Identifier is 1093560385, issued on Apr 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 15, 2024.