Individual provider · Type 1 NPI

Portia Ann Keough, FNP

Family Nurse Practitioner · Torrance, CA

NPI number 1255839791 Active

Practice location

23600 Telo Ave
Torrance, CA 90505-4035

Mailing address

393 E Walnut St Fl 3, Phr Group Provider Enrollment Unit
Pasadena, CA 91188-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95005554 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1255839791

Portia Ann Keough, FNP's National Provider Identifier is 1255839791, issued on Jan 30, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Torrance, CA. The record was last updated on Oct 23, 2021.