Porter, Dewanda
Porter, Dewanda is an individual health care provider with primary practice located at 3288 Oberlin Ave # Oh005 , Lorain OH 44053-2752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porter, Dewanda can be contacted via phone (866) 389-2727.Contact Information
Primary practice address
3288 Oberlin Ave # Oh005
Lorain OH 44053-2752
Phone: (866) 389-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 13796-NP | Ohio |
Profile Details
| NPI number | 1952651721 |
|---|---|
| LBN Legal business name | Porter, Dewanda |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2012 |
| Last updated | Apr 24th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952651721 | NPPES |
| Ohio | MEDICAID | 1952651721 |
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