Individual provider · Type 1 NPI

Kellie A. Porter, NP-C

Nurse Practitioner · Casa Grande, AZ

NPI number 1619314523 Active

Practice location

1876 E Sabin Dr Ste 10
Casa Grande, AZ 85122-6197

Fax (520) 836-1510

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP4957 (AZ)
Nurse Practitioner Primary 363L00000XAP4957 (AZ)

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 1619314523

Kellie A. Porter, NP-C's National Provider Identifier is 1619314523, issued on May 31, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Jul 7, 2022.