Individual provider · Type 1 NPI

Nina Porter, MD

Military Health Care Provider · Fairfield, CA

NPI number 1205525482 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Call (707) 423-3000 Map

Mailing address

5262 Shumway Pl
Fairfield, CA 94533-1427

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1205525482

Nina Porter, MD's National Provider Identifier is 1205525482, issued on May 3, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2024.