Individual provider · Type 1 NPI
Renee Porter, PNP
Pediatric Nurse Practitioner · Aurora, CO
NPI number
1821173576
Active
Practice location
13123 E 16th Ave
Aurora, CO 80045-7106
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 129960 (CO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1821173576
Renee Porter, PNP's National Provider Identifier is 1821173576, issued on Oct 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Aurora, CO. The record was last updated on Oct 27, 2012.