Porterfield, Mary Karen
Porterfield, Mary Karen is an individual health care provider with primary practice located at 1930 Braeburn Cir , Salem VA 24153-7388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porterfield, Mary Karen can be contacted via phone (540) 772-4540.Contact Information
Primary practice address
1930 Braeburn Cir
Salem VA 24153-7388
Phone: (540) 772-4540
Fax: (540) 772-6805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024164720 | Virginia |
Profile Details
| NPI number | 1962472076 |
|---|---|
| LBN Legal business name | Porterfield, Mary Karen |
| Credentials | MSN, CFNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Oct 6th, 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 | 1962472076 | NPPES |
| Virginia | MEDICAID | 10163382 |
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