Individual provider · Type 1 NPI
Marcus Porter, RN
Home Health Registered Nurse · Royal Oak, MI
NPI number
1811364904
Active
Practice location
28000 Woodward Ave
Royal Oak, MI 48067-0960
Mailing address
11734 Lansdowne St
Detroit, MI 48224-1699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 4704294821 (MI) |
Home Health Registered Nurse: Definition to come...
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About NPI 1811364904
Marcus Porter, RN's National Provider Identifier is 1811364904, issued on Aug 25, 2015. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 25, 2015.