Individual provider · Type 1 NPI

Kristin Rae Porter

Obstetrics & Gynecology Nurse Practitioner · Bowie, MD

NPI number 1366053217 Active

Practice location

3060 Mitchellville Rd Ste 210
Bowie, MD 20716-3969

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102XR178637 (MD)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XR178637 (MD)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1366053217

Kristin Rae Porter's National Provider Identifier is 1366053217, issued on Aug 13, 2020. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Bowie, MD. The record was last updated on May 17, 2021.