Individual provider · Type 1 NPI
Kole Porter
Critical Care Pediatric Nurse Practitioner · Pomona, CA
NPI number
1861313561
Active
Practice location
2771 N Garey Ave Unit 136
Pomona, CA 91767-1877
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 95040688 (CA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
About NPI 1861313561
Kole Porter's National Provider Identifier is 1861313561, issued on Jul 21, 2026. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Pomona, CA. The record was last updated on Jul 28, 2026.