Individual provider · Type 1 NPI

Cheryl Porta, AGPCNP-BC

Primary Care Nurse Practitioner · Teaneck, NJ

NPI number 1891158408 Active

Practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University Plz Ste 205
Hackensack, NJ 07601-6208

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X26NJ00627500 (NJ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1891158408

Cheryl Porta, AGPCNP-BC's National Provider Identifier is 1891158408, issued on Mar 31, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Teaneck, NJ. The record was last updated on Aug 16, 2024.