Porta, Carissa

Porta, Carissa is an individual health care provider with primary practice located at 4750 E Galbraith Rd Suite 210, Cincinnati OH 45236-6705. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Porta, Carissa can be contacted via phone (513) 686-4830.

Contact Information

Primary practice address
4750 E Galbraith Rd Suite 210 Cincinnati OH 45236-6705
Phone: (513) 686-4830
Fax: (513) 686-4836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP09046 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 09046 Ohio

Profile Details

NPI number 1972665982
LBN Legal business name Porta, Carissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Sep 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972665982 NPPES
Ohio MEDICAID 2727606

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