Individual provider · Type 1 NPI

Kristina Diane Porter

Licensed Practical Nurse · Bloomington, IN

NPI number 1629646534 Active

Practice location

3043 N Lintel Dr
Bloomington, IN 47404-8945

Call (812) 333-7622 Map

Fax (812) 333-7623

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27052065A (IN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1629646534

Kristina Diane Porter's National Provider Identifier is 1629646534, issued on Jun 16, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bloomington, IN. The record was last updated on Jun 16, 2021.