Individual provider · Type 1 NPI

Desiree Port

Licensed Practical Nurse · Beatrice, NE

NPI number 1306552138 Active

Practice location

320 N 5th St
Beatrice, NE 68310-2957

Mailing address

1320 Lincoln St
Beatrice, NE 68310-3166

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27486 (NE)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1306552138

Desiree Port's National Provider Identifier is 1306552138, issued on Jan 25, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Beatrice, NE. The record was last updated on Jan 25, 2023.