Individual provider · Type 1 NPI

Carolyn Marie Porta, PhD, MPH, RN, SANE-A

Registered Nurse · St. Paul, MN

NPI number 1700609203 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2595

Mailing address

1930 Pinehurst Ave
St. Paul, MN 55116-1339

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR-12972-2 (MN)

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 1700609203

Carolyn Marie Porta, PhD, MPH, RN, SANE-A's National Provider Identifier is 1700609203, issued on Nov 4, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Paul, MN. The record was last updated on Nov 4, 2024.