ESTACY PORTER

FORT LEAVENWORTH, KS
NPI1609333509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LC1500X Nurse Practitioner, Community Health
(Licence: KS  53-78383-111)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
ESTACY PORTER DNP, NP
142 ALLEN DR
FORT LEAVENWORTH, KS 66027-1421
Phone number: 757-788-9578
Mailing Address
ESTACY PORTER DNP, NP
142 ALLEN DR
FORT LEAVENWORTH, KS 66027-1421
Phone number: 757-788-9578
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