Individual provider · Type 1 NPI

David Porter, NPP

Psychiatric/Mental Health Nurse Practitioner · Fayetteville, NY

NPI number 1386139285 Active

Practice location

4000 Medical Center Dr, Ste 504
Fayetteville, NY 13066

Fax (315) 744-1925

Other practice locations

  • 742 James St, Syracuse, NY 13203-2017 · (315) 703-2745

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X625493 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X402419 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

24 other providers at this address

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About NPI 1386139285

David Porter, NPP's National Provider Identifier is 1386139285, issued on Jun 25, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, NY. The record was last updated on Feb 2, 2023.