Individual provider · Type 1 NPI
Mellisa Georgette Porter
Primary Care Nurse Practitioner · Brooklyn, NY
NPI number
1235615923
Active
Practice location
1180 E 55th St
Brooklyn, NY 11234-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 341954 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1235615923
Mellisa Georgette Porter's National Provider Identifier is 1235615923, issued on Jul 16, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 16, 2018.