Individual provider · Type 1 NPI
Nickolaos Thomas Portaritis, R.N.
Critical Care Medicine Registered Nurse · Hattiesburg, MS
NPI number
1750649067
Active
Practice location
5001 Hardy St
Hattiesburg, MS 39402-1308
Mailing address
PO Box 17826
Hattiesburg, MS 39404-7826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | R873027 (MS) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1750649067
Nickolaos Thomas Portaritis, R.N.'s National Provider Identifier is 1750649067, issued on Apr 25, 2012. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Hattiesburg, MS. The record was last updated on Apr 25, 2012.