Individual provider · Type 1 NPI
Stephanie Portillo, CPNP-PC
Pediatric Nurse Practitioner · Pasadena, TX
NPI number
1790446227
Active
Practice location
4949 Fairmont Pkwy Ste 200
Pasadena, TX 77505-3757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1058111 (TX) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1790446227
Stephanie Portillo, CPNP-PC's National Provider Identifier is 1790446227, issued on Jan 6, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pasadena, TX. The record was last updated on Oct 7, 2023.