Individual provider · Type 1 NPI
Angel Nicole Porter
Registered Nurse · Belleville, IL
Practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 041530530 (IL) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1679429088
Angel Nicole Porter's National Provider Identifier is 1679429088, issued on Mar 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Belleville, IL. The record was last updated on Mar 9, 2026.