Individual provider · Type 1 NPI

Portia Ofori Shore, NURSE PRACTITIONER

Nurse Practitioner · Tarzana, CA

NPI number 1386274819 Active

Practice location

18370 Burbank Blvd Ste 514
Tarzana, CA 91356-2837

Mailing address

17328 Ventura Blvd # 108
Encino, CA 91316-3904

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95013736 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386274819

Portia Ofori Shore, NURSE PRACTITIONER's National Provider Identifier is 1386274819, issued on Jan 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tarzana, CA. The record was last updated on Oct 25, 2021.