Individual provider · Type 1 NPI
Tyler Porter
Student in an Organized Health Care Education/Training Program · Whiting, IN
NPI number
1508672239
Active
Practice location
1715 Cleveland Ave. Apt. 2F
Whiting, IN 46394
Mailing address
1715 Cleveland Ave Apt 2F
Whiting, IN 46394-1651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1508672239
Tyler Porter's National Provider Identifier is 1508672239, issued on Dec 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Whiting, IN. The record was last updated on Dec 6, 2024.