Individual provider · Type 1 NPI
Dale Poortenga, FNP
Family Nurse Practitioner · Hammond, IN
NPI number
1265248504
Active
Practice location
Midwest Express Clinic, 31 Sibley St Ste A
Hammond, IN 46320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71016085A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265248504
Dale Poortenga, FNP's National Provider Identifier is 1265248504, issued on Dec 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hammond, IN. The record was last updated on Dec 10, 2024.