Porter, Carlene

Porter, Carlene is an individual health care provider with primary practice located at 4405 Weaver Pkwy , Warrenville IL 60555-3269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Porter, Carlene can be contacted via phone (630) 352-5300.

Contact Information

Primary practice address
4405 Weaver Pkwy Warrenville IL 60555-3269
Phone: (630) 352-5300
Fax: (630) 352-5499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-001548 Illinois

Profile Details

NPI number 1003877630
LBN Legal business name Porter, Carlene
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 29th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003877630 NPPES
Illinois Other 206147104 MEDICARE PTAN (INDIVIDUAL)
Illinois Other CA4748 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 206147 MEDICARE PTAN (INDIVIDUAL)
Illinois Other P01090259 MEDICARE PTAN (INDIVIDUAL)

Popular Providers