Porter, Kristina Diane

Porter, Kristina Diane is an individual health care provider with primary practice located at 3043 N Lintel Dr , Bloomington IN 47404-8945. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Porter, Kristina Diane can be contacted via phone (812) 333-7622.

Contact Information

Primary practice address
3043 N Lintel Dr Bloomington IN 47404-8945
Fax: (812) 333-7623
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27052065A Indiana

Profile Details

NPI number 1629646534
LBN Legal business name Porter, Kristina Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2021
Last updated Jun 16th, 2021 - about 3 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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