Porter, Maryclare

Porter, Maryclare is an individual health care provider with primary practice located at 2095 N Dolores Rd , Cortez CO 81321-8924. 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, Maryclare can be contacted via phone (970) 564-8086.

Contact Information

Primary practice address
2095 N Dolores Rd Cortez CO 81321-8924
Phone: (970) 564-8086
Fax: (970) 564-8087
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1013532 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0999429-NP Colorado

Profile Details

NPI number 1295341519
LBN Legal business name Porter, Maryclare
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Feb 5th, 2024 - about last year

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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