Porthouse, Marie Michelle

Porthouse, Marie Michelle is an individual health care provider with primary practice located at 4501 Empire Ct , Fredericksburg VA 22408-1949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Porthouse, Marie Michelle can be contacted via phone (540) 891-1200.

Contact Information

Primary practice address
4501 Empire Ct Fredericksburg VA 22408-1949
Phone: (540) 891-1200
Fax: (540) 891-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024079016 Virginia

Profile Details

NPI number 1962430298
LBN Legal business name Porthouse, Marie Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 28th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962430298 NPPES
Virginia MEDICAID 7788614

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