CHANNA PORTER

LAYTON, UT
NPI1306584065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  198999-4405)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: UT  19899-4405)
Enumeration Date2022-05-23
Last Update Date2022-09-01
Business Address
CHANNA PORTER DNP
3225 W GORDON AVE STE 1
LAYTON, UT 84041-5728
Phone number: 801-397-6150
Mailing Address
CHANNA PORTER DNP
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500