Individual provider · Type 1 NPI

Glen Alan Porter, FNP-C

Family Nurse Practitioner · Glendale, AZ

NPI number 1376828780 Active

Practice location

6611 W Bell Rd, (inside Frys)
Glendale, AZ 85308-3607

Mailing address

3420 E Carol Ann Way
Phoenix, AZ 85032-3820

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP4205 (AZ)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1376828780

Glen Alan Porter, FNP-C's National Provider Identifier is 1376828780, issued on Oct 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glendale, AZ. The record was last updated on Sep 26, 2014.